Horsetooth Half-Marathon & Relay
                           Fort Collins, Colorado
                                 April 19, 2003

Registration Form (print legibly)  BIB #:   _______________

Walkers check this box  ______  (walkers start early at 8:00 am)

Name _________________________________  Sex:     M       F

Address ____________________________________________

City ______________________  State ________  Zip ________

Phone ______________________  Age on race day __________

T-Shirt Size (circle one)      S       M      L       XL

Relay Information (circle one)      Coed       Men      Women

Relay Team Name _____________________________________
Note: Each relay team member must fill out a separate entry form
and entries submitted together.  No Day of Race Registration is
available for relay teams.

Amount Enclosed _____________  Cash  / Check  / Credit Card
(circle one) -- make checks payable to Ft. Collins Running Club

Card Number ______________________  Exp Date __________

(circle one)      Visa  /  MC  /  AMX   /  DIS

Release Waiver Statement: In consideratino of the acceptance of my entry,
I, the undersigned participant, for myself, my family memebers, heirs, administrators,
personal representative, successors, and assigns, hereby fully release, discharge
and hold Foot of The Rockies, Colorado State University, Larimer County,
Fort Collins Running Club and its members and staff, sponsors, owners, operators
of event motor vehicles and officers, directors, employees, volunteers, and lessors
of any of the foregoing persons or entities from any and all liabilities, whether
resulting from negligence of any aspect of the Horsetooth Half Marathon including
any pre-race and post-race activities.  I also expressly convenant with the
aforementioned persons and entities not to sue any such persons or entities. 
I certify and represent by my application for entry, that my physical condition is
adequate to compete safely in the Horsetooth Half Marathon and I hereby
acknowledge that the above persons and entities have no obligation to provide
medical care and have not undertaken the responsibility to do so.   In the event I
receive medical care as a result of medical emergency, I hereby consent to such care
and fully release the person or persons providing such care from any and all liability,
whether resulting from negligence of otherwise.  I also hereby agree that any faxed
and/or electronically transmitted signature is legally binding.

Signature ___________________________  Date ____________
            Parent's signature for participants under age 18