Printable Registration Form for the 2017 Southeastern Trail Series Races  Mail to: David Tosch - STR   
                                                                                                                                               220 Normandy Ln
Please fill out completely and neatly and provide one form for each entrant.                                                       Chelsea, AL 35043

First Name:_____________________________   Last Name:______________________________    Gender: M  -  F

Age on Race Day:_______ Date of Birth: ___________ Email Address: _______________________________________

Address: _______________________________________________________________________________________

City/State/Zip:_________________________________________________________  Phone # ___________________

Emergency Contact Name: ________________________________________  Phone # _________________________
​  
       Print this form before December 20th and the prices are good as long as your registration is postmarked by December 25th.

              Select the 2017 Southeastern Trail Series:          Short Race Series        $260.00    
                          Race 1 - April 8 - Tranquility Lake Trial Race: 3 Mile    
​​                          Race 2 - May 6 - Run for Kids Challenge: 10K           
                          Race 3 - May 27 - Memorial Day Race: 6 Mile    
                          Race 4 - July 15 - Hotter 'N Hell Race: 9 Mile   
                          Race 5 - Aug 26 - Ridge to Blazing Ridge: 10.5   
                          Race 6 - Sept 22-24 - Birmingham Stage Race: 2 Day (Sat-Sun) Stage Race
  ​                        Race 7 - Dec 9 - Blood Rock 25K    
​                                                (Additional Distances in RFK & BR are not available for the Short Series)

             Select the 2017 Southeastern Trail Series:           Long Race Series     $380.00    
                          Race 1 - April 8 - Tranquility Lake Trial Race:  6 Mile 
​​                          Race 2 - May 6 - Run for Kids Challenge: 50K 
                          Race 3 - May 27 - Memorial Day Race: 12 Mile 
                          Race 4 - July 15 - Hotter 'N Hell Race: 18 Mile 
                          Race 5 - Aug 26 - Ridge to Blazing Ridge: 21 Mile 
                          Race 6 - Sept 22-24 - Birmingham Stage Race: 3 Day Stage Race 
  ​                        Race 7 - Dec 9 - Blood Rock: 50K 
                                                                Change to RFK 12 Hour                        $20.00
                                                                Change to Blood Rock 50 Mile or           $20 .00
                                                                Change to Blood Rock 100 Mile            $120.00 Added Distances $   ____________

                        Select your Shirt Size: Men's -  S   M   L   XL   XXL   Women's - S   M   L   XL
                                                                                                            
                                                                                                                              Price of Long or Short Series: $   _____________
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                                                         High School Runners or 17 & under, Registration fee is 50% off standard fee: $ - _____________

                             Make Check Payable to: Southeastern Trail Runs                                               Total Enclosed $   _____________

BY SIGNING THIS RELEASE YOU GIVE UP ANY CLAIM FOR INJURY OF ANY KIND AND CERTIFY YOU HAVE READ THIS WAIVER AND THAT YOU AGREE TO IT'S TERMS. I understand that participating in a trail race is a potentially hazardous activity. I will not enter and run or walk unless I am medically able to do so and properly trained. I assume all risks associated with running or walking this event, including but not limited to the effects of weather, traffic, course conditions and course surfaces, falls, and contact with other runners, volunteers and spectators. I am aware that medical support for this event will be provided by volunteer personnel or professional medical personnel who may be called upon to provide assistance, including first aid, to me during or after the event. I authorize any such volunteer or professional to assist me or to perform such assistance as in the opinion of such person may be necessary or appropriate. I understand that Southeastern Trail Runs, LLC, The Southeastern Trail Series, The City of Birmingham, The City of Pelham, The City of Hoover, Oak Mountain State Park, Red Mountain Park, Moss Rock Preserve, their officials, employees, agents and representatives, the sponsors, the volunteers, and all others assisting in the operations of the event and its supporting and related activities assume no responsibility or liability with respect to my participation in the race or in any related events. I agree to obey and accept the rules of this race and any related events as published or otherwise made known to me, and to abide by the decision of any race official concerning my ability to safely complete the event. Having read this waiver and release, and knowing these facts, and in consideration of the acceptance of my entry, I for myself and any person entitled to act on my behalf do hereby release Southeastern Trail Runs, LLC, The Southeastern Trail Series, and it's officials sponsors, representatives, volunteers, together with their employees, contractors, subcontractors, directors, officers, agents, attorneys, The City of Birmingham, The City of Pelham, The City of Hoover, Oak Mountain State Park, Red Mountain Park, Moss Rock Preserve, and their officials, employees, agents and representatives from all claims of liabilities of any kind or character arising from my participation in this event or in any related activity, even though liability may arise from negligence or carelessness on the part of persons or organizations named in this waiver and release. IN THE EVENT THAT A RUNNER REQUIRES EMERGENCY EVACUATION BY GROUND or HELICOPTER-AMBULANCE, THE RUNNER ASSUMES ALL FINANCIAL OBLIGATIONS CONNECTED WITH THIS SERVICE. Race management is NOT responsible for any debt incurred. I consent to the use of photographs, video, film and sound recordings of all race events for all legitimate purposes. I give permission to be contacted by interested media. I further understand that the Southeastern Trail Runs, LLC events and The Southeastern Trail Series events, are trail races and that I will be exposed to hazards and obstacles not normally associated with road races. These hazards include, but are not limited to, exposed rocks and roots in and on the trail, tree branches and limbs on and near the trail, irregularities in the trail surface and uneven transitions from one surface to another and wet or slick surfaces. All these hazards and obstacles pose a significant risk of falls that can result is possible serious injury. Some trails are very technical and pose a risk of falls down steep slopes in very remote areas where rescue may be difficult. Race officials reserve the right, at their discretion, to disqualify and remove from the course, any person who is knowingly or unknowingly violating any rules or instructions issued by said officials. I understand that the entry fee is non-refundable and non-transferable. I have read this waiver and certify my compliance by signature below. This release is a Release of Liability Waiver. Entrants under 19 year of age must have the waiver agreement signed by themselves and their parent of legal guardian.

SIGNATURE:                                                                                                                   Date                                             

Please Print Name:                                                                                                                         

SIGNATURE OF PARENT OR LEGAL GUARDIAN IF ENTRANT IS UNDER 19:                                                                                            

PRINT NAME OF PARENT OR LEGAL GUARDIAN IF ENTRANT IS UNDER 19:                                                                                            
Unsigned entries will not be accepted. Parents or Guardian must sign for children under 19-years-old.