Capulin Volcano Run Registration Form

Half Marathon & 10K

Start Location (muster point): Folsom, NM School House
Time: 6:00 am ~ September 29th, 2013
Transport to Capulin Visitor Center by: 6:30 am
Transport to Race Start Point by: 7:00 am
Race start time: 7:00 am

5K & Fun Run

Start Location: Folsom, NM School House
Time: 8:00 am ~ September 29th, 2013

The 5K Run will be 2.5K south on 325 and back to the School House. The Fun Run will be various lengths for kids and such.

Prices

Half Marathon: $40.00 thru August 31st (T-Shirt provided *)
Late registration $45.00 September 1st - September 28th

10K: $30.00 thru August 31st (T-Shirt provided *)
Late registration $35.00 September 1st - September 28th

5K Run: $20.00 ~ No late registration fee. (T-Shirt provided *)

Fun Run: $1.00 ~ No late registration fee. (prize for all runners ~ no T-Shirt)

*T-Shirts Only Guaranteed for the First 50 Half Marathon Registrants
& First 50 10K Registrants & First 50 5K Registrants

No registration on race day!

Instructions

Print this form, complete all requested information, enclose with a check and mail to:

Folsom Museum
Box 454
Folsom, NM 88419

For questions, email run@folsomvillage.com or call 575-278-2122

Information & Waiver

First Name: ___________________________________

Last Name:____________________________________

Phone: _______________________________________

Email: _______________________________________

Address: _____________________________________

City/State/Zip: _________________________________

Sex (circle one): M F Age:_________

Entry Type (circle one): Half Marathon or 5K or Fun Run

Shirt Size (circle one): S M L XL XXL

Entry Fee Enclosed (see prices in left column): _________

Waiver

I knowingly and at my own risk, and in consideration of my acceptance as a participant, hereby forever waive and release any and all claims for injuries or illness that I may incur as a direct or indirect result of my participation in this race against the Folsom Museum, the Village of Folsom, NM, the Folsom EMS, the Des Moines EMS, the Folsom Volunteer Fire Department, Mount Capulin National Monument, any sponsor or any other group or individual assisting or associated with this race. None of the above are responsible for the loss of any personal item(s). I have been warned that this race is run at an elevation of 8,000 feet or above, that the temperature can range from 10 to 100 degrees, that the surface of the roads and trails varies greatly and could be covered with snow, ice, or mud and that there are vehicles, dogs, livestock, wild animals, etc. on the course.

I acknowledge that I have read, understand, and accept my responsibility and liability for my safety and health during the Capulin Volcano Marathon, 10K, 5K, and Folsom Fun Run and any associated activities and events.

____________________________________________
Participant Signature (or Parent/Guardian if under 18)

Date __________________