St Louis Triathlon Club
Frozen Buns Run
5 & 10k run
January 17, 2009

www.frozenbunsrun.blogspot.com

Race Date: January 17, 2009 starting at 10:00 am
Registration:
Online at Active.com Event #: 1638973
Mail to: 2070 Autumn Wood Dr., Saint Charles, MO 63303
Race day registration available at 8:30 am
Location: Blueberry Hill in the Loop (6504 Delmar)
Distance: 10k or 5k run/walk
Awards: Trophies to top 3 overall male and female finishers
Medals to top 3 male and female in age groups
Age Groups: under 20, 20-29, 30-39, 40-49, 50+
Race Fees: $25.00; $30.00 after January 10, 2009 (includes winter beanie)
(make checks payable to “St. Louis Triathlon Club”)

Name: ________________________________________________________________

Address: ___________________________________________________________

City/State/Zip: __________________________________ Phone: __________________

Distance: 10K 5K Email: ______________________________________

Age (as of January 17): _________________ Gender: M F

WAIVER OF LIABILITY: I understand that the St. Louis Triathlon Club, their members, Big River Race Management, Big River Running Company, and all others connected with this event or program are not liable for any injuries which I may suffer while taking part in this voluntary activity. I hereby waive and release any and all rights and claims I may have against the St. Louis Triathlon Club, Big River Race Management, Big River Running Company, sponsors or any personnel for any injury I might suffer in this event or for loss or damage to my property. I attest that I am physically fit and have prepared for this event. (Participants under the age of 18 must have this form signed by a parent or guardian.)

Signature: _______________________________________ Date: __________________

www.stlouistriclub.com **** www.frozenbunsrun.blogspot.com