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Step 1 of 2 - Runner Registration |
First Name | Last Name
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Address 1
| Address 2
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City
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State / Province
Use 2 digit code for US and Canada otherwise, leave blank. | Country, if outside of the U.S. and Canada
Leave blank if address is in US or Canada. |
Zip / Postal Code
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Primary Phone Number
Required... please provide your primary number. | Other Phone
Optional... Provide an alternate phone number. |
Email Address
Your active Email Address... check for accuracy. |
Runner's Date of Birth
Format: YYYY-MM-DD | Sex
M for Male, F for Female. |
Shirt Selection
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Is this your First Attempt at 100 Miles? List your Ultra Experience.
Please respond "Yes" or "No"... then, provide a brief listing of your ultra running experience.
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Extra Pre-race Spaghetti Carbo-loading Dinners @ $5.00 each
Optional... Enter number of extra pre-race spaghetti carbo-loading dinners that you'd like to reserve (extra dinners are priced at $5.00 each). Every race participant is issued two (2) dinners with their registration. Consider reserving extra dinners for your family / crew.
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Previous Years that You Completed the AT100
Optional... List the Years in which you've successfully completed the Arkansas Traveller 100 within the allotted time limit, prior to this year's race.
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Your Anticipated Finish Time for this year's AT100
Please provide an estimation of your finishing time for the this year's Arkansas Traveller 100.
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Your Plans for Lodging / Accommodations
Optional... Please help with our logistics by choosing one from above.
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Medical Info
Required... Please describe any medical conditions, allergies, prescription drugs (that you're taking) of which we should be made aware.
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Emergency Contact Name
| Emergency Contact Phone Number
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Required... provide the name and phone number of someone who is not running in the race as a contact, which we may use in the unlikely event of an emergency. |
Mandatory Runner Briefing on Friday Afternoon
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Required... all participants must attend our mandatory runner briefing which will take place Friday afternoon, the day before race day. Please select above to acknowledge and confirm your intentions. |
Waiver
I know that running an ultramarathon race is a potentially hazardous activity that could cause injury or death. I should not enter and run unless I am medically able and properly trained, and by 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 my participation 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 the weather, including high heat and/or humidity, traffic and the conditions of the road and trail, encounters with wild or domestic animals, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the race directors and workers, Arkansas Ultra Running Association, U.S. Forest Service, Deltic Timber Corporation & Subsidiaries, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, event though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to race management to use any photographs, recordings, or other records of my participation in this event for any legitimate purpose. I also understand that the race director has the right to refuse any entry, and that my registration fee is non-refundable after September 19th, 2016. Agree to waiver by checking here.By agreeing to this waiver you submit to the terms and conditions as set forth by this event and certify that you have provided true and accurate information as requested through this registration process. |
Coupon Code
Do you have a coupon or promo code? If so, please include it here. |
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