RACE APPLICATION Completion required.

Name-First ______________________________________________________________

Name-Last ______________________________________________________________


City ______________________________________ State ________________________

Zip ______________________Phone________________________________________

Age (on race day)_________________________________________________________

Circle Gender      M      F                    Date of Birth  ___ - ___ - ___            

 Circle T-Shirt Size       XS   S      M      L      XL

Circle Race����� Marathon����� Half Marathon����� 5K����� 1K����� Club/Group Affiliation  ______________

Email Address _________________________________________________________

ENTRY FEES Non Refundable


Postmarked By 2/28/2012

After 2/28/2012




Half Marathon






1K, Kid Run




Students 18 and under  photo copy   ID for  $10.00 discount (Kid Run Not Included)
*Pre-Registration Guaranteed a T-shirt. Present Student I.D. for discount    �    Parking fee $5.00
*Race Day *Same Day Registration available 

Liability Waiver for the Diamond Valley Lake Marathon, Half Marathon, 5K, and 1K

In consideration of the acceptance of this entry in said Marathon, Half Marathon, 5K, and 1K races to be held on April 9, 2011, at Diamond Valley Lake, Hemet, California, we, the undersigned participant and (if participant is under 18 years of age) parent or guardian, intending to be legally bound, do hereby for ourselves, our heirs, executors and administrators, waive, release and forever discharge any and all rights or claims for damages which we, or either of us, may have or which hereafter accrue to us, or either of us, against any and all persons, organizations and legal entities affiliated with said race and, more particularly, the officials of the Diamond Valley Lake Marathons, Habitat for Humanity, Metropolitan Water District of Southern California, Reserve Management Committee and Member agencies of the Riverside County Multi-Species Reserve, Urban Parks Consessionaire, the City of Hemet, the County of Riverside, together with their representative officers, agents, representatives, employees, successors, assigns and/or sponsors, for any and all damages which may be sustained or suffered by us in connection with or entry in, and /or arising out of our traveling to, participation in and returning from said race. I/we hereby agree to release to the race promoter full and exclusive rights to record my performance in said race on film, videotape, or still photography for use without compensation. I/we understand that this is an arduous athletic event and herby certify that I am properly conditioned to participate. All fees are nonrefundable.

Participant/Parent Signature___________________________________Date_____________

Make checks payable to : Habitat for Humanity ����������������������������������������������������������������������������������������������������������Mail completed form and fee to :Habitat for Humanity, DVLM Post Office Box 1574,������������������������������������������ San Jacinto, CA 92581-1574 Your cancelled check is your confirmation of registration.
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