National Capital 20 Miler Entry Form

Make checks payable to: "DCRRC". Mail to: Jack McMahon, 5412 Marlin St., Rockville, MD 20853.

Registration Form
           Name: 

        Address: 

           City: 

          State:    Zip:  Phone: 

  Date of Birth:    Age on race date: 

          Email: 

         Gender: M F    Shirt Size: M L XL

Event: 20 Mile 5 Mile

20M Entry Fee: $27 DCRRC members before 9/4 $32 Non-members

$32 DCRRC members 9/4-9/17 $37 Non-members

$37 DCRRC members 9/18-9/24 $42 Non-members

Free for Males under 2 hrs & Females under 2:20 in 2004 race.

5M Entry Fee: $8 DCRRC members before 9/4 Non-members $11

$13 DCRRC members 9/4-9/17 Non-members $18

$15 DCRRC members 9/18-9/24 Non-members $20

$20 Race Day for all

# of previous Nat Cap 20 Milers that you have run:

Waiver Must Be Read and Signed Before Mailing:

I know that running is a potentially hazardous activity. I should not enter or run in club activities 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 in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release the Road Runners Club of America, the DC Road Runners Club, Fleet Feet, City of Alexandria, 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 that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.



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Signature                        Date          Parent's Signature if under 18
  

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