Mt. Misery Team Relay Registration Form -- Entry fee is $40 per person.  Teams shall consist of 2 to 6 persons. All runners and substitutions must read and sign this Registration Form.  No substitutions or additions will be allowed after start time on race day, Saturday,  June 30,  2007,  8:00 a.m..  Late fee after June 23 is $15.00 per team.  Questions?  Need on a team?  Contact Bill Chandler at (208)746-8287 or go to our web site at www.seaportstriders.com.   Mail checks payable to:   Seaport Striders,  P.O. Box 20,  Lewiston,  ID   83501

RELEASE, WAIVER, ASSUMPTION OF RISK & INDEMNIFICATION. I know that running a road race is a potentially hazardous activity. I should not enter and run 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. I assume all risks associated with running in the Mt. Misery Team Relay, June 30, 2007, 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. In consideration for my participation, I, for myself, and anyone entitled to act on my behalf, waive, release and will indemnify and hold harmless Seaport Strider Running Club, the City of Asotin, the City of Troy, Asotin County, Wallowa County, Garfield County, all other sponsors of the race, their agents, any other persons assisting with the race, and their successors from all claims of liabilities of any kind arising out of my participation in the race even though that liability may arise out of negligence or carelessness on the part of such persons. I understand most roads are gravel, passing through mountainous areas and there will be no traffic control or emergency services provided by the race organizers. I will supply my own water, first aid supplies, and verify all vehicles will be adequately safe for the conditions. I grant unrestricted permission for the use of any photographs, motion pictures, recordings or other record of my participation in the race. Parents or guardians must sign for participants under 18 years of age. My signature signifies that I have read and understand the terms of this release statement.

Team Name ______________________________________________ Team Captain_________________________

Estimated Finish Time_________________            E-mail _______________________________________________

Print each participant's name legibly and place signature below, make a copy for your information, return this entire page.

Name: Last, First, Initial                                      Address: Street, City, St, Zip                   Age       Sex        T-Shirt Size

1. _______________________________  __________________________________     _____     ____         ________

x _______________________________­_  __________________________________ Phone____________________

2. _______________________________  __________________________________     _____     ____         ________

x ________________________________  __________________________________ Phone ___________________

3. _______________________________  __________________________________     _____     ____         ________

x ________________________________  __________________________________ Phone ___________________

4. _______________________________  __________________________________     _____     ____         ________

x ________________________________  __________________________________ Phone ___________________

5. _______________________________  __________________________________     _____     ____         ________

x ________________________________  __________________________________ Phone ___________________

6. _______________________________  __________________________________     _____     ____         ________

x ________________________________  __________________________________ Phone ___________________

Team Relay ($40 x ______ no. of team members) $ ______________ Late Fee of $15 per team $ ________________

Extra T-shirts ordered @ $15: No. ________ Sizes________________ Extra Post Race meals @ $15: No._________

$2 Discount for each Strider Club Member -___________________ Total Amount of Check $_______________