Spring 5k
racePacket - Mail-in Entry Form
Saturday, March 25, 2017

Make checks payable to "RacePacket, Inc" and mail to PO Box 25094, Arlington, VA 22202
          First Name: 
           Last Name: 
             Address: 
                City: 
               State:           Zip: 
               Phone: 
              E-Mail: 
       Date of Birth:       Age on Saturday, March 25, 2017: 
              Gender: Male Female
           Entry Fee: $25 
Fee On or After 2017-03-17:
                      $30 
          Shirt Size: M L XL 
               Event: 5K Run 

Waiver Must Be Read and Signed Before Mailing:

I know that running is a potentially hazardous activity. I have read the race flyer and am familiar with the course. I will not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running or walking in this event including but not limited to: falls, contact with other participants, effects of weather, traffic and road conditions. All such risks are know and appreciated by me. In the event that the race is canceled due to weather, I agree that my entry fee will not be refunded but I may either pick up my t-shirt at RacePacket or treat my entry fee as a donation to the charity. Having read the waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release RacePacket, Inc., the race directors, race beneficiaries, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though such liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use any photographs or any other record of this event for any legitimate purpose.


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

From www.racePacket.com, Thanks for your support.



All blanks must be filled in.

Note that online registration on RacePacket is available for this race.


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