Fill in the race entry form below.

ROOTS ROCK TRAIL RUNNING
Name:	*
Email:	*
Address:	*
City:	*
State/Province:	- Select State - Alabama Alaska Alberta/option> Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Manitoba Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territoires Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon *
Zip/Postal Code:	*
Country:	United States Canada Other
Phone:	*
Age:	*
DOB:	*
Gender:	- Select Gender - Male Female *
Please choose your shirt(s):
Lumberjack Shirt - Free with entry - Select Shirt Size - No Shirt Women's Small Women's Medium Women's Large Men's Small Men's Medium Men's Large Men's X-Large
Forest 5K Shirt - $12.00 - Select Shirt Size - No Shirt Women's Small Women's Medium Women's Large Men's Small Men's Medium Men's Large Men's X-Large
PG Full and Half Shirt - $12 - Select Shirt Size - No Shirt Women's Small Women's Medium Women's Large Men's Small Men's Medium Men's Large Men's X-Large
Spooky 12K Shirt - $12.00 - Select Shirt Size - No Shirt Women's Small Women's Medium Women's Large Men's Small Men's Medium Men's Large Men's X-Large
Please choose your race(s):
Fishline 50K - $25.00
Fishline 25K - $25.00
Lumberjack Endurance Runs - $90.00
Forest 5K - $20.00
Port Gamble Marathon - $25.00
Port Gamble Half - $25.00
Spooky 12K - $20.00
Notes: (If doing Lumberjack, please indicate attempted distance)
Please read the waiver carefully:
	In consideration of the acceptance of my entry, I, and my heirs, do hereby waive and release any and all rights and claims for damages that I may have against Roots Rock Trail Run, Chris Hammett, Poulsbo Running, Pope Resources, Olympic Property Group 1 LLC, any and all volunteers, any staff, any sponsors, or any other persons involved with this event. I accept all risks, known and unknown, which may occur as a result of participation in this event. Parent must sign release on day of race or at Poulsbo Running if under eighteen.
I agree to the above waiver*
I am under 18 years old