Circles for Circle Tail
Run/Walk Sat. April 17, 2010
Winton Woods, Sweetgum Slopes Shelter

Come join us for the first annual run/walk to support Circle Tail!
After the event, enjoy refreshments, prizes, and a brief service dog demonstration.
Complete the 2 mile paved loop as often as you want between 8:00 – 11:30 a.m.

Online registration is now closed. You may register in person at the event. Please do not register online or use the PayPal button to pay.

Great training, run for half and full marathon participants
Flexible start and finish times
Wheelchair friendly event
Leashed dogs welcome
Strollers  welcome

Cost: $25

Schedule:
7:30 – 10:30 – Race day registration, packet pick-up for all participants
8:00 – 10:30 – Participants start their circling!
11:30 – Course closes / Service Dog Demo
11:45 – Prizes for male and female finishers with the most “circles” or laps!

Directions: I-275 to Forest Park Winton Rd. exit. South on Winton Rd. Left at Lakeridge Rd. to enter park. Quick left on Corbett. First right into Harper Meadows. Shelter is on left.

Parking: $2.00 per vehicle for those without a Hamilton County Parks 2010 permit. Follow posted signage.

Complete the following registration form or print this PDF version and fax it to (513) 945-3349. You can pay by check to Circle Tail, Inc. or use PayPal.

Circle Tail, Inc. 8834 Carey Lane Pleasant Plain, OH 45162

We also encourage you to collect pledges - ask your friends, family, and co-workers to support your effort by donating a certain amount per loop you complete! Here is the pledge form in either Word or PDF.

REGISTRATION FORM:
The following fields are required. Please use "none" or "NA" for not applicable as appropriate.
Name:
Age (if under 18 yrs.):
Minor's Parent or Guardian:
Street Address:
City, State & Zip
Adult's Phone:
Emergency Contact Name:
Emergency Contact Phone:
Dog Name (limit 1 dog per person):
Email You Check:

Acknowledgement of The Fine Print

I have read The Fine Print below and fully understand its terms.

I agree to The Fine Print by typing "YES" in this box: and inserting the date here: . If a minor, the The Fine Print must be agreed to and dated by the named parent or guardian.

You Will See a Thank You Page

If you have completed all required fields, once you click Submit, you will see a Thank You page. If you have not completed all required fields, you will be asked to complete the required fields before the form can be submitted and you see the Thank You page.

You Should Receive an Email

If you have completed all required fields, once you click Submit, you and Circle Tail also will be sent an email containing the information you supplied for this form. If you do not receive the email, it is likely that Circle Tail also did not receive the email. Please click the back button on your browser and make sure your email address is correct and click the Submit button again.

Still Having Difficulties?

If you are still having difficulties submitting the form, you are welcome to print and fax it to (513) 945-3349. You also can right-click, save and complete the PDF version and email it to paforms@circletail.org as an attachment or mail it to Circle Tail. You can pay by check to Circle Tail, Inc. or use PayPal.

Circle Tail, Inc. 8834 Carey Lane Pleasant Plain, OH 45162

We would appreciate knowing the details of the difficulties you had, so we can correct problems. Please email us at paforms@circletail.org.

The Fine Print:

Waiver of liability: I know that running a road race is a potentially hazardous activity that could cause injury or death. I should not enter and walk / run unless I am medically able and properly trained, and by clicking Submit or my signature, I certify that I am medically able to perform this event, am in good health, and am properly trained. I agree to abide by any decision of a race official, relative to any aspect of my participation in this event, including the right of any official to deny or suspend me for any reason whatsoever. I assume all risks associated with running in this event including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity,
I understand that bicycles, skateboards, roller skates or blades, are not allowed in the race and I will abide by this guideline. Having read this waiver and knowing the facts and in consideration of your accepting my entry, I, for myself, and anyone else acting on my behalf waive and release and indemnify Circle Tail Inc., all volunteers, plus all sponsors, their representatives and assignors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I hereby grant full permission to use my name, picture, or likeness on any media or form and any other record of my participation in the above named race for any publicity and/or promotional purpose(s) without obligation to me, or successors, assigns, et al., or liability to the publisher or promoter. I understand that the entry fee paid by or for me is not refundable unless entry is refused by the registrar. I understand that the guidelines set by the USATF and the Road Runner’s Club of America strongly recommended against the use iPods or other audio devices during the event. Choosing to use an audio device will NOT result in disqualification, but I will compromise my safety and that of others by wearing a headset. If wearing an iPod or other audio device results in my being unable to hear verbal instructions, commands, approaching vehicles, or course marshals on bicycles, I may be asked to relinquish the device and may face disqualification.