Maui Paradise Marathon, Half Marathon | Entry Information

January 16, 2011

Participants must be at least 18 years old on race day for both events

Key in the form info, print it out, sign and date it and either post with check or cc data, or fax with cc information.
Make checks payable to
($US only):
Maui Paradise Marathon		 Mail form & check or cc info to:
Maui Paradise Marathon
PO Box 9, Kihei, HI, 96753, USA
Fax (with CC info) To: 808-879-1761 (US)
Email: Jerry@mauiroadrunners.com for more information		 
Name:
 
Address:
 
City, State, Zip, Country:
 
Daytime phone:
 
E-mail Address:
 
Age on race date: (1/16/2011
 
Gender:
 
MALE      FEMALE
 
Select your event:
 
Marathon    Half Marathon   
Check t-shirt size:
 
S   M   L  XL
 
Fees: US$50.00 for either event; Add US$5.00 if using credit card for total of US$55.00.

Credit Card Data:  
Type:          Name on credit card: 

Number:  Exp Date:
Waiver must be read and signed before mailing:
I know that running is a potentially hazardous activity. I should not enter or run this event 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 this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release the event, and all sponsors, volunteers, organizers and anyone associated with the event, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. All fees are nonrefundable. I certify that I am at least 18 years of age on race day. 

________________________  _____________ _______________________________

Signature                        Date          Parent's Signature if under 18