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All events are held at the Collinsville Maryville Troy (CMT) YMCA
#1 Town Center Drive, Maryville, IL - (618) 346-5600
Packet Saturday, May 21, 2011 from 9am – 5pm* at the CMT YMCA
Pickup *Half Marathon only. Packets must be picked up on 5/21/11. Please contact
Miriam Bell at 618-346-5600 if unable to pick up on 5/21/11.
Other All 3 Mile Family Run/Walk finishers will receive a finishers’ ribbon.
Awards All Kids ½ Mile Fun Run Finishers will receive a ribbon.
Event:
Half Marathon*-$24 Non-Competitive 3 Mile-FREE Kids ½ Mile Fun Run-FREE
*You must be at least 14 years old
on 5/22/11 to participate in the Half Marathon.
Gender: Male Female Estimated Finish Time (Half Marathon only): _____:______
Hr Min
If registering for the Half Marathon, is this your first Half Marathon? Yes No
Would you like to be added to the Red9Runner e-mail distribution list? Yes No
Would you like to be added to the YMCA of Southwest Illinois e-mail distribution list? Yes No
Would you like to be contacted regarding a Half Marathon Training Program? Yes No
Waiver of Liability: I understand that the YMCA of Southwest Illinois, the City of Maryville, their employees
and all others connected with the event or program are not liable for any injuries which I may suffer while
taking part in this voluntary activity. I hereby waive and release any and all rights and claims I may have
against the YMCA, sponsors or any personnel for any injury I might suffer in this event or for loss or damage
to my property. I attest that I am physically fit and have prepared for this event. (Participants under the age
of 18 must have this form signed by a parent or guardian).
Signature:______________________________________________________Date:____________________________
Parent or Guardian Signature required if under the age of 18