Farm to Trail

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DIRTY SPOKES TRAIL RUN SERIES

"Farm to Trail" on October 30, 2021

Presented By Automation Direct

–– 30K/11K Trail Run ––

Blue Ridge, Georgia

ENTRY FEES

30K
- Through October 14 –> $50.00
- October 15 -- October 25 –> $55.00 (LATE)
- Race Day Registration –> $75.00
- Registering Online Costs $2.75 extra per person.
11K
- Through October 14 –> $40.00
- October 15 -- October 25 –> $45.00 (LATE)
- Race Day Registration –> $50.00
- Registering Online Costs $2.75 extra per person.

*All Dirty Spokes events will utilize chip timing.

How many people are you registering for?*

You can register up to 3 people.

First Person

Name*

First Name*

Initial*

Last Name*

Which race will you run?*

30K 11K

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email*

Birthday*

https://xsimple.formstack.com/forms/images/2/calendar.png

Month

Day

Year

Age Group*

Gender*

Male Female

Shirt Size*

WXS WS WM WL WXL XS S M L XL XXL

Dirty Spokes will be handing out “Dri-Fit” shirts at each of our trail running races this year! That’s right a $25.00 value with your race registration! No guarantee of T-Shirt with late or race day registration.

Registration Fee for this person? $

NO REFUNDS: I understand that the entry fee is non-refundable and non-transferable. I also understand the Event(s) will take place rain or shine, at Race Director’s discretion. Race may also be postponed due to natural hazards uncontrollable by Race Director. If race is postponed for any reason, there are no refunds and entry fee will be forwarded to the rescheduled date.

WAIVER: In consideration of acceptance of this entry, I waive any and all claims for myself and my heirs against officials and sponsors of the Dirty Spokes Trail Run Series Georgia for injury or illness which may result directly or indirectly from my participation. I further state that I am in proper condition to participate in this event.

I have carefully read and fully understand this agreement. I am aware that this is a release of liability, a promise not to sue, and a contract between myself and the Event(s) parties that will bind my marital community, heirs, personal representatives, assigns, and all members of my family, including any minors, and I sign this agreement of my own free will.*

Yes

Sign your name to accept the waiver agreement for yourself or your child under 18.*

First Name*

Initial*

Last Name*

Second Person

Name*

First Name*

Initial*

Last Name*

Which race will you run?*

30K 11K

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Birthday*

https://xsimple.formstack.com/forms/images/2/calendar.png

Month

Day

Year

Age Group*

Gender*

Male Female

Shirt Size*

WXS WS WM WL WXL XS S M L XL XXL

Registration Fee for this person? $

Yes

Sign your name to accept the waiver agreement for yourself or your child under 18.*

First Name*

Initial*

Last Name*

Third Person

Name*

First Name*

Initial*

Last Name*

Which race will you run?*

30K 11K

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Birthday*

https://xsimple.formstack.com/forms/images/2/calendar.png

Month

Day

Year

Age Group*

Gender*

Male Female

Shirt Size*

WXS WS WM WL WXL XS S M L XL XXL

Registration Fee for this person? $

Yes

Sign your name to accept the waiver agreement for yourself or your child under 18.*

First Name*

Initial*

Last Name*

Total Cost

Online Processing Fee $

Online Processing Fee Cost $

$2.75 per person

Total Overall Cost $