16th Annual Leona Divide 50 Mile Run

Official Entry

USATF Sanctioned Event

Make check out to Keira Henninger, and mail to 17 Rollins Place, Laguna Niguel, CA 92677

PLEASE READ: Fill out the info. Press "Print Form". Required fields are marked with an asterisk (*). Pressing
"Print Form" will open a new window that you must print, sign, and mail with your entry fee to the address on that window. Runners may not change races after the start. No online payment or entry submission

*First name: *Last: *Age on race day: *Sex:
*Date of Birth (dd/mm/yyyy):
*Address: *City: * State: *Zip:
E-mail: *Cell Phone number:
*Select Race: 50 Miler: 50K (31.9 miles) (55+ ONLY!)
*Shirt Size (S,M,L,XL):