Teams (of 5): $90.00 – Pre-register by Sept 11, 2015
$125.00 – After Sept 11th and day of race
T-shirts will be guaranteed to pre-registered runners on the day of race. Additional T-shirts available as supplies last.
SPONSORSHIPS:
Sponsorships levels from $100 to $5000. Individual or business sponsorships accepted. All sponsors will be featured on STOPS website and race T-shirt. Visit www.stops-la.com for more information. Deadline for sponsorships is September 11, 2015.
Checks payable to:
STOPS
427 N.Theard St #500
Covington, LA 70433
All entry fees are non-refundable. Official Use Only Saturday, September 26, 2015 Abita Trailhead AbitaSprings, LA
Individuals: $20 Pre-Registered by 9/11/15 $30 Registered after 9/11/15 and day of race
Teams: $90 Pre-Registered by 9/11/15 $125 Registered after 9/11/15 and day of race
PLEASE PRINT
Last Name First Name MI
Team/Sponsor Name
Address
City State Zip Gender
Telephone Date of Birth Age
Email Address T-Shirt Size Small Medium Large X-Large
For Credit Card Payment: Visa Mastercard Discover Card No.: ___ _______
Exp. Date: 3-Digit Security Code: ___
Name as appears on card: Signature: _____ _______ 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 the risks associated with running in this event but not limited to fall, contact with other participants, the effects of weather, including high heat and/or humidity, traffic and other conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing those facts and in consideration of your accepting my entry, I for myself and anyone else entitled to act on my behalf, waive and release St. Tammany Outreach for the Prevention of Suicide (STOPS) and all sponsors, their representatives and successors from all claims in liabilities of any kind arising out of my participation in the event. I grant permission to all of the foregoing to use any photographs, motion picture recordings or any other record of this event for any legitimate purpose.
Signature Date:
Signature Date:
Signature of Parent or Guardian if Entrant is Under 18
