BIG 5 DUKE CITY MARATHON REGISTRATION

*shirt color guaranteed when you register before October 1*

OCTOBER 17, 2021

ALL RUNNERS, WALKERS, & WHEELERS MUST READ AND SIGN THIS WAIVER:I know that running/walking/wheeling in a road race is a potentially hazardous activity. I should not enter and run/walk/wheel unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run/walk/wheel. I assume all risks associated with running/walking/I know that running/walking/wheeling in a road race is a potentially hazardous activity. I should not enter and run/walk/wheel unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run/walk/wheel. I assume all risks associated with running/walking/-

wheeling this event including, but not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I,

for myself and anyone entitled to act on my behalf, waive and release the Duke City Marathon, the City of Albuquerque, Promotion Dynamics, Big 5 Sporting Goods, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise for myself and anyone entitled to act on my behalf, waive and release the Duke City Marathon, the City of Albuquerque, Promotion Dynamics, Big 5 Sporting Goods, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise

out of negligence or carelessness on the part of the persons named on this waiver. I grant permission to all the foregoing to use any photographs, motion picture recordings, or any other record of this event for any legitimate purpose.

Signature: _________________________________________________________________________ Date: ________________________ www.DukeCityMarathon.com

Call: (505) 880-1414 for more information Email: info@dukecitymarathon.com for more informationMAIL this form to: P.O. Box 6689, Albuquerque, NM 87197 FAX this form to: 1 (877) 408-6585

Early Registration Ends October 1

EVENTMarathon $95

Half Marathon $75

10k Run $55

10k Walk $55

5k Run $33

5k Walk $33

Mens Womens Coed

Pueblo Military Law Enforcement

(Coed teams must have 2 team members of the opposite sex)

(deadline September 17)

5

$________________

$__________$__________$__________$__________

$__________

PAYMENT METHOD:______ Pay by check (make payable to Duke City Marathon)______ Pay by money order or cash______ Pay with card _____Visa _____MasterCard _____Discover _____American Express

Card Number: ________________________________________________________ Exp. Date: ___________________

Signature: ____________________________________________________________ CSC Code: ___________________

Select a division

Team Name___________________________________________

Marathon Relay $225 Per Team(all 5 entries must be submitted together with one form of payment)

Additional Shirt:

Shirt Color: Women’sBlack

Women’sRed

Men’sRed

Men’sBlack

Women’sBlack

Women’sRed

Men’sRed

Men’sBlack

First Name

Last Name

Address Age (on 10.17.21)

City State Zip Male Female

Phone (day) Email

Shirt Size: XS S M L XL XXL

Shirt Size: XS S M L XL XXL