Prefix:
First Name:
Middle Name:
Last Name:
Suffix:
Street Address:
City:
State:
Zip Code:
Gender:	(select from list) Male Female
Date of Birth:
Weight (lbs.):
T-Shirt Size:	(select from list) S M L XL XXL
Daytime Phone:
Evening Phone:
Email Address:
Status:	(select from list) Active Duty Military - USAF Active Duty Military - USA Active Duty Military - USN Active Duty Military - USCG Retired Military Reserve National Guard Foreign Military DOD Civilian Civilian (Non-Military)

Select the event  you are entering:	(select one) Marathon Half Marathon 10K Individual 10K Team 5K
Marathon Division:	(select one) Age Group Clydsdale - Male (200+ lbs.) Athena - Femal (140+ lbs.) Wheeled Handcrank Wheelchair
Is this your first marathon?	Yes     No
If no, how many marathons have you run?

   

Team Category:	(select one) Men's Open Women's Open Coed Masters (40+) Military ROTC Collegiate
Team Name:
Team Member 1 / Captain:
Team Member 2:
Team Member 3:
Team Member 4:
Remember: each team member must complete and submit a separate registration form.

   

In consideration for your accepting my (my child's) entry in the United States Air Force Marathon and associated races (including but not limited to the full marathon, the half-marathon, the 5K, the wheelchair race), I, the undersigned, intending to be legally bound, waive and release for myself (my child), my heirs, executor and administrators, any and all rights and claims for damages, demands and any other actions that have resulted from my (my child's) participation in the event, which I may have against the United States Air Force, the US Government, the City of Fairborn, Wright State University, Greene County, Montgomery County, MarathonGuide.com/Web Marketing Associates, volunteer medical support, all participating supports and those entities representatives, successors and assignees. I agree to hold these entities, and their agents, representatives, successors, and assignees harmless from any liability including any and all injuries, to include death, that are suffered by me as a result of my participation in this event. I verify I have full knowledge of the rigors of this race and the risk involved in participation, and I am physically fit and have sufficiently trained to complete this event. I realize medical support for this  event will consist primarily of volunteer medical personnel prepared to administer first-aid type assistance along the race course and finish line. I acknowledge that United Way of the Greater Dayton Area, United Way’s Partner Agencies, and MarathonGuide.com/Web Marketing Associates have no responsibility for the operation of the USAF Marathon and associated races and are only acting as agents to register applicants who wish to participate in the USAF Marathon and associated races and as such does not verify the accuracy and completeness of the information that is provided by the event operators or sponsors. I understand that all confirmed orders are final once payment is submitted and that refunds will not be issued. I hereby grant permission to the United States Air Force Marathon and its sponsors to use all information submitted in my (my child's) application, and any photograph, videotape, motion pictures, recording and any other record of this event including pre-race and post-race publicity. The registrant acknowledges that United Way of the Greater Dayton Area, United Way’s Partner  Agencies, and MarathonGuide.com/Web Marketing Associates have no responsibility for the operation of the USAF Marathon and associated races and are only acting as agents to register applicants who wish to participate in the USAF Marathon and associated races. Accordingly,  the registrant agrees to hold United Way of the Greater Dayton Area, United Way’s Partner Agencies, and MarathonGuide.com/Web Marketing Associates and its agents harmless from any  liability or injury resulting from the USAF Marathon and associated races. Furthermore, the registrant  agrees that it shall have no claim against United Way of the Greater Dayton Area, United Way’s Partner  Agencies, and MarathonGuide.com/Web Marketing Associates from any injury that may occur during the USAF Marathon and associated races. The individual event operators and sponsors have provided information included on this site and United Way of the Greater Dayton Area, United Way’s Partner Agencies, and MarathonGuide.com/Web Marketing Associates do not verify the accuracy or completeness thereof. All confirmed orders are final once payment is submitted. United Way of the Greater Dayton Area, United Way’s Partner Agencies, and MarathonGuide.com/Web Marketing Associates do not issue refunds.

Please type out the security code exactly.