MEETEETSE MOUNTAIN CLASSICS 
Entry Form

Name___________________ Age on Race Day - (Jun-12)_____(Sep -4)_____
Mailing Address_____________________City___________ST___ZIP_______
Email Address:_________________________phone#:_____________________

T-Shirt Size:  Adult Small ___Adult Med. ___Adult LG___Adult XLG___Adult XXL__ 

Race Age Divisions for Male and Female:  14 & under; 15-17; 18-39; 40 & over 

Please check the race you will run:

Wagon Box Social:  June 12, 2004: 5K ___  10K ____ 15K  ____ 
(Includes pre-race social meal, t-shirt, race snacks and camping at Oasis Motel evening prior to race) 

Meeteetse Absaroka Challenge:  September 4, 2004: 5K ___   10K ____ 15K ____ 
(Includes t-shirt, race snacks and camping at Oasis Motel evening prior to race) 

Registration fee:
14 & under, 60 & over - $25 per race or $40 for both races 
Active Duty Military - $20 per race or $35 for both races 
15 to 59 - $30 or $50 for Both races

How did you hear about the race?________________________________________
 
Release and Waiver Form
I hereby for myself, my heirs, executors, administrators, waive and release any and all rights and claims for damages I may have against the Meeteetse Recreation District, Shoshone National Forest and their agents for any injuries or illness suffered by me which may result from my participation in either of the 5K, 10K, or 15K mountain runs.  I attest and verify that I am physically fit to compete in and complete this 5K, 10K, or 15K mountain run event.

___________________________________________________
Participant's Signature & Date 
(Parents must sign waiver for minors under age 18.) 

In cooperation with Park County Travel Council and Shoshone National Forest
Race sanctioned by USA Track & Field

 Make check payable to Meeteetse Rec. Dist.
Mail entry form and direct inquiries to: 
Meeteetse Recreation District
P.O. Box 446, Meeteetse, WY 82433 
or call 868-2603
Register Online @ http://www.meeteetsewy.com/rec/race.html

*Please print this page, fill out all information and mail to Meeteetse Recreation District with payment. Or, You can email your registration information to Meeteetse Recreation District. Please include all required information in your email.  Thank you!