Klein Clark Sports, LLC Palm Springs Half Marathon Entry Form

February 13, 2011
13th Annual Palm Springs 1/2 Marathon, 1/2 Marathon Relay & 5K Run/Walk

Palm Springs Fitness Weekend

This is becoming a Southern California favorite.
Mostly flat and fast USATF certified courses that wind through some of the most famous neighborhoods in Palm Springs.
Ruth Hardy Park, Palm Springs

Click Here for 2010 Race Results

Run/Walk Entry Form
You can register by filling out this application, print it and mail it with a check, or you can register On-line

Please Input Information on this application.
Make your check payable and mail to Klein and Clark Sports, LLC
80 Via Del Mercato, Rancho Mirage, CA 92270
For additional information call(760) 324-7069
E-mail us at: greg@kleinclarksports.com

1/2 Marathon

$49.00 Before January 1, 2011
$55.00 January 1, 2011 to February 12, 2011
No Discounts
Race Dary $60.00

1/2 Marathon Relay Teams 2 or 3 Person Teams & Sweethearts

$69.00 Before January 1, 2011
$78.00 January 1, 2011 to February 12, 2011
No Discounts

5K Run & Walk

$25.00 before January 1, 2011
$30.00 January 1, 2011 to February 12, 2011
No Discounts

1/2 Marathon:

1/2 Marathon Relay:

5K:

Name or Team Captain:
Address:
City:	State:
Zip: Phone:	E-mail: (Mandatory for confirmation)
Age on race day: Sex:	Birth date:

Sweetheart Division - 2 Persons Only - Each Member must sign the waiver Team Name:
Team member #1	Sex: Age:
Team member #2	Sex: Age:

Relay Teams - Each Member must sign the waiver Team Name:
Team member #1	Sex: Age:
Team member #2	Sex: Age:

Divisions Individuals (please indicate age group): 6 and under 10 and under 11-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+
Divisions Relay Teams	Divisions Relay Teams Male Divisions Relay Teams Female Divisions Relay Teams Mixed
Masters Relay Teams (all members 40 & over)	Masters Relay Teams Male Masters Relay Teams Female Masters Relay Teams Mixed
Waiver and release: In consideration of the acceptance of my entry, I, for myself, my executors, administrators, as assignees, do hereby release and discharge Greg Klein, Brenda Clark, Klein and Clark Sports, LLC, City of Palm Springs, State of California, Riverside County and all governmental agencies whose property and/or personnel are used, and other sponsoring or co-sponsoring companies, agencies or individuals involved with this event from all rights and claims for damages suffered by my participation in this event, even death. I also state that I am in proper physical condition to take part in this event. I will additionally permit the use of my name and picture in broadcasts, telecast, newspapers, brochures, etc., and I also understand that the entry fee is non-refundable. As a participating athlete, I certify that all the information provided in this form is true and complete. I have read the entry information provided for the event and certify my compliance by my signature below.
Signature:	Date:
Signature Sweetheart #1:	Date:
Signature Sweetheart #2:	Date:
Signature Relay #1:	Date:
Signature Relay #2:	Date:
Signature Relay #3:	Date:
Please Input Information on this application and Print Make your check payable and mail to Klein and Clark Sports, LLC, 80 Via Del Mercato, Rancho Mirage, CA 92270 For additional information call(760) 324-7069 or go to our web site: or E-mail us at: greg@kleinclarksports.com
Return to: Palm Springs 1/2 Marathon Relay, & 5K Run/Walk

To Visit Other Pages, Please Use Selection Below

Klein and Clark Sports, LLC

80 Via Del Mercato
Rancho Mirage, CA 92270
Phone or Fax: (760) 324-7069
E-Mail: greg@kleinclarksports.com

Return to Top of the Page