Wednesday, May 17, 2006


2006 Mountain Masochist 50 Mile Trail Race Application

Name: _________________________________________ Age ______ Sex ______


_______________________________________________ Zip ___________

E-Mail Address ____________________________________________________

Circle the "ONE" you want and please be sure to indicate SIZE.

T-Shirt Size: S M L XL
Sweat Shirt Size: S M L XL

Occupation: ____________________________________________

Phone: Work ( )_________________ Home ( )_________________

Number of Ultras Run _____ Best 50 Miler ___________?
Number of Marathons Run _____ Best Time ___________?
***Number of MMTR Finishes _____ Best Time ___________?

***Please do not forget to include this

Application Fee $70 ($90 after October 14st)
Bus $5
Awards Dinner (per person) $7 ($10 at the door)
Total Enclosed _________

I have been warned that the Mountain Masochist Trail Run is a grueling, grim, and hazardous event and I am fully aware that I could be injured attempting such a run. With this knowledge, I am accepting full responsibility for any harm I might suffer I absolve all sponsors and organizers of the Mountain Masochist Trail Run of any and all liability related to my attempt to run the Mountain Masochist Trail Run.

Signed ____________________________________________________


Mail application to:

David Horton

Liberty University

1971 University Blvd

Lynchburg, VA 24502