Entry Blank Longview Half Marathon - 13.

1 miles
Half Marathon runners should be 18 years of age or older.
Younger runners please contact race director.

Name________________________________________________
Age______________________

Sex:

Male

Female

Address_____________________________________________
State_______________________

Zip_____________________

Phone_______________________________________________
Email________________________________________________
T-shirt Size

XL

XXL

Mail with applicable registration fee to:

LONGVIEW RUNNING CLUB

PO BOX 150555
LONGVIEW TX 75615
YOU MUST DOWNLOAD, SIGN AND DATE THE APPROPRIATE
WAIVER FORM AND MAIL IT ALONG WITH THIS DOCUMENT
TO COMPLETE YOUR REGISTRATION!