Klein Clark Sports, LLC Palm Springs Half Marathon Entry Form

February 14, 2010
12th 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.
Palm Springs Ruth Hardy Park

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 at:

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
or go to our web site: www.kleinclarksports.com
or E-mail us at: greg@kleinclarksports.com

1/2 Marathon

$47.00 Before January 1, 2010
$55.00 January 1, 2009 to February 13, 2010
* discount - Seniors 55+ and Kids 14 & under $5.00 off above fees

1/2 Marathon Relay Teams ( 2 or 3 Person Teams

$69.00 Before January 1, 2010
$78.00 January 1, 2010 to February 13, 2010
No Discounts

5K Run & Walk

$20.00 before January 1, 2010
$25.00 January 1, 2010 to February 13, 2010
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:
Relay Teams - Each Member must sign the waiver Team Name:
Team member #2	Sex: Age:
Team member #3	Sex: Age:
Divisions Individuals (please indicate age group): 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+
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 Klein and Clark Sports, LLC, Greg Klein, Brenda Clark, City of Palm Springs, State of California, and all others involved with this event from all rights and claims for damages suffered by my participation in this event. I also state that I am in proper physical condition to take part in this event.
Signature:	Date:
Signature Relay:	Date:
Signature Relay:	Date:
Please Input Information on this application/Print and 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: www.kleinclarksports.com or E-mail us at: greg@kleinclarksports.com
Return to: Palm Springs 1/2 Marathon Relay, & 5K Run/Walk

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Klein and Clark Sports, LLC

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

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