Name___________________________________________________                     Birth date  _______/______/_______      Sex:   Male  or   Female

T Shirt size:  XXL*    XL      Large       Med.                                             Age on Oct.13, 2002:    _______

Address____________________________________________________________________________________

City_____________________________________ State or Province_____________Zip or code________________  Country: ____________

Day Phone: (_______) ______________________ Evening (_______) ________________________    email: _____________________________
Men circle for Marathon Run  Clydesdale Division:       184 lbs.  or less, 185+,    200+,    225+
Women circle for Marathon Run  Athena  Division:       144 lbs. or less, 145+,    160+ ,   185+
What is your Personal Record for the event you have entered? _________           Predicted time for this race? __________
Number of Lake Tahoe Marathon events previously entered __________            Total # of total marathons completed? ________
Have you run ( any event ) in all 6 previous Lake Tahoe Marathons?     yes     no
If yes, please list:  1996 _____, 1997 _____, 1998 _____, 1999 ______, 2000____ 2001 ____         Circle Wheel Chair or Crank Chair if it applies.
5 Person Relay Team Name _______________________________________ circle division: Male     Female      Coed     Masters(40+)
2 Person Relay Team Name ________________________________________circle division:  Male     Female      Coed
Team name for Marathon or Half Marathon Team competition  _______________________

Event fee from above..........................................................$ ______
Sat. Course Tour ....____ persons x $15.............................$  ______
Sunset Carbo Cruise..... ____ persons x $30 ..................   $ ______          1. Put all dinner reservations on one entry so you will have seats together.
Spectator Bus on race day   ____ persons x $25 ...........   $______            2. Staple all relay entrant forms together before mailing.
Training T-shirt  $18 includes, shipping..............................$ ______            3. Do not mail after Oct. 7.
*$3 extra charge for XXL T-shirts....................................... $ _______         4. Bring entry to the Expo or Camp Richardson on race day.
Video of your race: 10k, Half, and  Marathon $25 ..........    $_______
Fed Ex Race Bib fee ($25).................................................  $ _______        
International shipping ($10)                                                 $ _______
Marathon or Half Team competition fee ($10/person)         $________
Total ....................................................................................$________       Your Check #_________ Date of  Check  _______  

Visa or MasterCard  expiration date: __________                                                            

Waiver: Must be signed by all entrants. I know that running a road race is a potentially hazardous activity. I am medically able and properly trained for the race which will be run between 6220' and 7000'.I assume all risks associated with running in the event including, but not limited to, Falling, contract with other participants, effects of weather including heat and humidity, cold and ice, effects of altitude, traffic on the road and the condition of the roads, all such risks of racing being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of the acceptance of my entry. I, for myself, and heirs, executor, or any one entitled to act on my behalf, waive and release all race sponsors, officials, volunteers, employees, the liabilities of any kind arising out of my participation in this event. This Release and Waiver extends to all claims of every kind or nature whatsoever, foresee nor unforeseen, known or unknown. I grant my permission to all the foregoing to use any photographs, motion pictures, video or sound recordings, or any other record of this event for any legitimate purpose. There will be no refunds for any reason. The course is subject to change and is pending Special Use permit from the U.S. Forest Service, Lake Tahoe Basin Management unit. I will have fun and enjoy the run and Lake.