Street
City
Phone
Name
State
Red Eye Relay Registration Form 2008
Male
Female
Team Name
Agree
Age at race finish
Category
Zip Code
email
To be answered by TEAM CAPTAIN ONLY
Team Members Names (This field can be left blank, however, all team members must be registered by July 15th).
Anticipated Start Time (our official start time does not need to be declared until July 1st)
If SUBSTITUTING for another runner please type his/her name here
Comments or Questions can be addressed here
Liability Waiver
I know that running a road race, regardless of the distance is a potentially hazardous activity.  I should not enter and participate 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 this race, and I further agree that race officials may authorize necessary emergency treatment for me. I understand and acknowledge that the race course will be open to general traffic and I accept all risks associated with participating under these conditions.  I hereby agree, for myself and my heirs, assigns, personal representatives, executors and administrators, to waive, release, and forever discharge Red Eye Relay and Juxta Company LLC and its respective directors, officers and employees, volunteers, any and all sponsors, suppliers, and any other personnel in any way assisting or connected with this event, any rights, claims or demands therefore which I may have or which I may hereafter accrue to me arising out of injury to my person or my property incurred in connection with participation in the Red Eye Relay, July 19th and 20th, 2008, whether such damages are caused by the negligence or carelessness of the part of the persons or parties named in this waiver.  
Captain's Name

In addition to this form, your registration will not be complete until your entry fee is paid.
Please submit this form, then follow the steps on the next page to confirm your payment.  Thanks, and we look forward to seeing you very soon!