Elite Athlete Registration

Note: you must contact the Elite Athlete Recruiter prior to registering as an elite athlete.

	**Required Field*
First Name:	*
Last Name:	*
Street Address:	*
City:	*
State/Province:	*
Postal Code:	*
Age:	*
DOB (MM/DD/YY Format):	*
Phone:	*
Email:
USATF Number (for club team competition only, subject to verification):
USATF Club Team (only if you are competing for a USATF Club Team at this race):
Are you a US Citizen?:	Yes No
Country:
Does your country have a tax treaty with the United States?	Yes No
Please enter the passcode provided by the Elite Athlete Recruiter here:

WAIVER AND RELEASE OF LIABILITY
In consideration of the acceptance of my entry, I, on behalf of myself, my heirs, executors, administrators and assignees, hereby release myself and discharge: the Charles Freihofer Baking Company, Inc., George Weston Bakeries, State of New York Office of General Services, Albany County, the City of Albany, the Board of Athletics, Adirondack Association Inc., and USA Track and Field and all other sponsors or beneficiaries and their representatives, successors and assignees from any and all claims for damages and causes of action arising from or out of my participation in the Freihofer's Run For Women. I attest that I am physically fit and that my condition has been verified by a physician. I am aware that the medical support for this event will be volunteer medical personnel who will be prepared to administer first aid only. I hereby grant permission to the Charles Freihofer Baking Co., Inc. and any other sponsors of this event to use all information submitted in this application, and any record of this race containing my likeness, as well as race results including my name and competition time, for any purpose whatsoever, including, but not limited to, pre-race publicity. I agree that if I do not return the timing device, I am liable for a $30 replacement fee. I hereby certify that I have read all terms and conditions of this release and intend to be legally bound thereby.

Yes, I have read and accept the terms of this waiver and release. No, I do NOT accept the terms of this waiver and release.