Spring 5K
Mail check payable to "RacePacket, Inc." to P.O. Box 25094, Arlington,
VA 22202.
.
Name:
Address:
City:
State: Zip:
Phone:
Date of Birth: Age on race date:
Gender: M F Event: 10K
T-Shirt: S M L XL
Entry Fee: $20 After April 20 $22
Wheelchair: Wheelchair
Waiver Must Be Read and Signed Before
Mailing:
I know that running a road race is a potentially hazardous activity. I
should 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 runnimg this event, including but not
limited to
contact with other participants, effects of the weather including high
heat and/or
humidity, traffic, and the condition 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 entry, I, for myself and anyone
entitled to act
on my behalf, waive and release RacePacket, Inc., Georgetown Running Co., PVA,
USATF, the race directors, race beneficiaries, all sponsors, their
representatives and successors from all claims or liabilities of any
kind arising out
of my participating in the event even though liability may arise out of
negligence
or carelessness on the part of the persons named in this waiver. I
grant permission
to all the foregoing to use any photographs, motion pictures, or any
other record of
this event for any legitimate purpose.
_______________________________ _____________ _____________________________________
Signature Date Parent's Signature if under 18
