Whispering Pines Trail Run

Who are you registering? Yourself Someone else Team name   First name   Last name   Email address   Confirm email address Date of birth    MM 01 02 03 04 05 06 07 08 09 10 11 12    DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    YYYY 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915    Gender -- Male Female   Hometown   -- AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE QC RI SC SD SK TN TX UT VA VT WA WI WV WY YT   State     Distance Choose one 7KM 10Mile 20Mile 50KM   Category None available Choose one F 0-19 F 100 F 20-29 F 30-39 F 40-49 F 50-59 F 60-69 F 70-79 F 80-89 F 90-99 M 0-19 M 100 M 20-29 M 30-39 M 40-49 M 50-59 M 60-69 M 70-79 M 80-89 M 90-99 Choose one F 0-19 F 100 F 20-29 F 30-39 F 40-49 F 50-59 F 60-69 F 70-79 F 80-89 F 90-99 M 0-19 M 100 M 20-29 M 30-39 M 40-49 M 50-59 M 60-69 M 70-79 M 80-89 M 90-99 Choose one F 0-19 F 100 F 20-29 F 30-39 F 40-49 F 50-59 F 60-69 F 70-79 F 80-89 F 90-99 M 0-19 M 100 M 20-29 M 30-39 M 40-49 M 50-59 M 60-69 M 70-79 M 80-89 M 90-99 Choose one F 0-19 F 100 F 20-29 F 30-39 F 40-49 F 50-59 F 60-69 F 70-79 F 80-89 F 90-99 M 0-19 M 100 M 20-29 M 30-39 M 40-49 M 50-59 M 60-69 M 70-79 M 80-89 M 90-99   Event entry fee increases after April 20, 2014 Event entry fee TBD

Address  *   Phone number  *   Emergency contact name  *   Emergency contact phone #  *   Would you like the no-event-shirt option? (avail till 4/20, Yes = save $10) NoYes -10.00 USD Please choose your comfy Organic Cotton and Bamboo event shirt size None Womens XXSmall Womens XSmall Womens Small Womens Medium Womens Large Womens XLarge Womens XXLarge Mens XSmall Mens Small Mens Medium Mens Large Mens XLarge Mens XXLarge Mens XXXLarge Extra large Would you like chicken or vegetarian post-race yum? (usually soft tacos) Chicken - balk balk! Vegetarian - < silence> Please share top 3 preferred aid station food items for this race Will this be your first trail race? No - I eat rocks for lunch! Yes - What's a streamer? Cup-free Racing: Purchase snazzy EBA HydraPouch ($12, race morning pick-up) NoYes 12.00 USD Pic of HydraPouch View image Enjoy a cold drink with a Whispering Pines glass 20oz ($10, avail till 4/20) NoYes 10.00 USD Pic example of drinking glass (from 2013 Rough Creek Trail Run) View image Put to use an EBA reusable grocery tote bag ($3) NoYes 3.00 USD Pic example of EBA grocery tote (actual color may vary) View image

Discount or coupon code Subtotal -- Discount -- Total --

Please review the waiver provided by the event organizer and click the check box below to accept it. In consideration of acceptance of my entry into the Whispering Pines Trail Run, I, for myself, my heirs, my executors, my administrators, my trustees, and any and all successors in interest, fully and forever waive and release any and all rights and claims for any injuries and damages, including but not limited to demands or actions for negligence, premises liability, emotional injury, intentional conduct, resulting in unintended injury or damage tort claims, and any other actions or demands of whatsoever nature, to the fullest extent permitted by law, I may have against (1) Whispering Pines Trail Run; (2) Endurance Buzz Adventures LLC (3) David Hanenburg; (4) Wendy Hanenburg; (5)Tyler State Park; (6) Texas Parks & Wildlife Department; (7) City of Tyler; (8) USA Track & Field; (9) Southwestern Association / USATF; (10) All sponsors of the Whispering Pines Trail Run; and (12) all employees, principals, directors, shareholders, agents, members, managers, affiliates, volunteers, officials, and representatives acting for or on behalf of any of these entities. I acknowledge that I am aware of the inherent risks involved in the event, and I voluntarily assume these risks. I attest and verify that I am physically fit and I have sufficiently trained for the competition in Whispering Pines Trail Run, and that a medical doctor has verified my physical condition. I acknowledge that I will be added to Endurance Buzz Adventures email newsletter. I can easily unsubscribe at any time. As a condition of my participation in the Event, I hereby grant Whispering Pines Trail Run a limited license to use my name, likeness, image, voice, video, athletic performance, biographical and other information (collectively, “Likeness”), in any format whatsoever, and to distribute, broadcast and exhibit these without charge, restriction or liability, but only for the purposes of advertising or promoting the Event. I accept the terms of the waiver - Let's play!