Thaw 5K
racePacket - Mail-in Entry Form
Saturday, March 3, 2018

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 3, 2018: 
              Gender: Male Female
           Entry Fee: $25 
Fee On or After 2018-02-24:
                      $30 
          Shirt Size: M L XL 
               Event: 5k Run 

Waiver Must Be Read and Signed Before Mailing:

I know that participating in the Thaw 5K is a potentially hazardous activity. I know I should not enter and participate unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to that official’s judgment of my ability to safely complete the run. I assume all risks associated with participation in the Thaw 5K including, but not limited to falls, contact with other participants, the effects of the weather including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my application, I for, myself and anyone entitled to act in my behalf, waive and release any and all sponsors including but not limited to RacePacket, Inc., race officials, volunteers, and all sponsors, their representatives and successors from all claims of liabilities of any kind arising out of my participation in this event, even though that liability may arise out of my 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, motion pictures, recordings 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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