PACKET PICK-UP:
Thursday, July 3rd from 10-4 at the NE Foot Traffic (4020 NE Fremont St., Portland, OR 97212)
HUGE sale, pick up your shirts, pick up your bib numbers.

Mail to:
Foot Traffic
4020 NE Fremont
Portland, Oregon 97204

Event (Choose One)

ENTRY FEES (includes t-shirt - Please note that the Marathon is open to Runners only and begins at 6:45am, and the Half-Marathon Runners/Walkers start time is 7:00am)

- Half-Marathon $45 (received on or before July 15th) Half-Marathon $55 (June 16th-July 2nd) Half-Marathon $60 (July 3rd-July 4th) Marathon $65 (received on or before June 15th ) Marathon $75 (June 16th-July 4th)
First Name / MI / Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy (birth year not 2008)

Age

Gender
- Female Male
Phone

Email

Division (Individuals)
- 15 years & under 16 - 19 years 20 - 24 years 25 - 29 years 30 - 34 years 35 - 39 years 40 - 44 years 45 - 49 years 50 - 54 years 55 - 59 years 60 - 64 years 65 - 69 years 70 years & over
T-Shirt Size
- S M L XL
PERSONAL CHAMPIONCHIP # (if applicable):

Check#

Amount Enclosed

WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
OFFICIAL WAIVER: In consideration of your acceptance of this race entry into the Foot Traffic Marathon & Half Marathon, I forever waive, release, and discharge any and all rights, claims for damages and causes of suits or action, known or unknown, that I may have against Foot Traffic, AA Sports, New Balance, PGP Valuation, Fred Meyer, The Maze, Sauvie Island Fire Fighters Assoc., any sponsors, suppliers agents, independent contractors, employees and any other persons who in any way assist or are connected with this event in any manner arising out of or resulting from my participation in the Foot Traffic Flat. I agree that this waiver, discharge and release also apply to my heirs, executors, administrators, & assigns without exception. I attest & verify that I have full knowledge of the risks involved in the Foot Traffic Flat & that I will assumed & pay my own medical & emergency expenses in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses, & that I am physically fit and sufficiently trained to participate in this event. I also agree that any sponsor may subsequently use, for publicity or promotional purposes, my name or picture of me participating without liability or obligation to me. I commit to returning the ChampionChipTiming Device loaned to me or pay a $30.00 replacement fee. ENTRY FEES ARE NON-REFUNDABLE / NON-TRANSFERABLE.

Type Full Name


Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age of 18)

Date________________________________________