Name:  
     Address:  
        City:  
       State:    Zip:   Home Phone: 
Date of Birth:   Age on race date: 

       Event: 2 Mile 5 Mile

      Gender: M F     Shirt size: S M L XL

  Running club: 

  Entry fee:  $18 (postmarked before , 2006)
              $15 (for MRC members, postmarked before , 2006)
              $10 (for high school or college students; must present student ID card on race day)
              $20 Race Day Registration (print this form and bring it to race)

Waiver: I acknowledge that running a road race is a potentially hazardous activity and I
should not run unless I am medically able and properly trained. I assume all risks associated
with running the 2006 Bobcat Blast, held on Saturday, October 21, 2006, including, but not
limited to falls, contact with other participants, traffic, conditions of the road, and effects
of weather. Having read this waiver and in consideration of entry, I for myself, and/or anyone
entitled to act on my behalf, waive and release the Merced Running Club, the City of Merced, the
University of California, and all sponsors and officials from all claims or liability arising 
out of my participation in this event.

_______________________________  _____________ _____________________________________
Signature                        Date          Parent's Signature if under 18

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