2008 Cactus ChaCha Application Form
Print, fill-out and mail-in with $20. or $25. fee.

Name:
Address:
City:
State:
Zip:
Telephone:
E-Mail:
Race: Mini ChaCha (3 Mile) or Full ChaCha (7 mile)
Age on race day:
Sex: Male / Female
T-Shirt Size: S, M, L, XL
First organized trail run you've participated in? Yes / No
In consideration of your acceptance of this entry, I hereby for myself, my heirs, or my administrators waive any and all rights and claims for damages or personal injury I have against race director, staff, volunteers, sponsors, White Tank Mountain Regional Park and Maricopa County. I accept the responsibility for myself or the above mentioned applicant and I understand there is an assumed risk of injury or death in participating in this event. No switching races. No refunds or transfers.

I hereby grant full permission to any and all of the foregoing to use any photographs, videotapes, motion pictures, recordings, emails, or any other record of this event. I agree to return my timing device after the race or will be assessed the $70. replacement cost.

Signature and date:
Signature of parent/guardian if applicant is under 18 years of age:
Please make checks payable to: John Greer
Mail application and fee:
$20. for Mini ChaCha (3 Mile)
$25. for Full ChaCha (7 mile)
to: Cactus ChaCha
P.O. Box 888
Avondale, Arizona 85323