Join us for the third race in the Kids Championship Series. No fee, but registration is required. Register via mail using the form below. Pre-registration preferred! Kids races will
start after the last heat of the 2-Mile Run is completed. The 2-Mile Run is slated to begin at 9:00
am. Kids races
will range from 100 yds to 1-mile.
Please contact Susan Noble with questions at susanmnoble@verizon.net.
OFFICIAL ENTRY FORM
Kids Run in conjunction with the Bates
2-Mile Track Run
Held at Bates Track in Annapolis
May 17, 2008 – right after the 2-mile
track run which starts at 9:00 am.
To register, complete and return this form (no fee required).
Mail to: Susan Noble,
Sex: M F
DATE OF BIRTH: ________________
Age on May 17, 2008:__________
Mom or Dad Strider: Yes
No
Waiver and Release: I recognize that
participation in this activity may involve
certain hazards. I
understand that I should not participate unless medically able. I
assume the risks
associated with involvement in this activity, including but not limited
to falls, contact
with participants, effects of weather and road and traffic conditions,
these risks being
known and appreciated by me. Having read this Waiver Release
and considering
the acceptance of my application, I, for myself and anyone entitled
to act on my
behalf, waive and release the
Club of
from any claim of liability arising
from my involvement in this activity.
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NAME:
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ADDRESS:
CITY/STATE/ZIP:
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PHONE: EMAIL:
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SIGNATURE OF ENTRANT
OR PARENT IF UNDER 18:
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