The
29th Anniversary 15K Race
Final leg of the Club Championship Series
Place:
Registration:
Race Start:
Course: Rolling park paths and roads
Awards and refreshments following the race
FEES: Free to Annapolis Striders if pre-registered by
$5.00 for non-Strider members if pre-registered by
$10.00 for all race day entries. All runners welcome
In the event of inclement weather, race is subject to alteration or cancellation. No Refunds.
Race director Susan Zevin 410-573-9424 susanzevin@comcast.net
Annapolis Striders, www.annapolisstriders.org
Online registration is available through Active.com at http://www.active.com/event_detail.cfm?event_id=1484265
********************************************************************************************************
Complete all information-please print clearly.
Make check payable to Annapolis Striders, Inc. No cash by mail.
Send check with form to June
Schneider, Anniversary Run,
DO NOT MAIL AFTER
Last Name _________________________________________ First Name ________________________________
Street _________________________________________ City__________________________________________
State ____________ Zip Code _______________ Phone Number _______________________________________
Email (optional) _______________________________________________________________________________
Male
Female Date of Birth
______________________ Age on Race
Day _______
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 the involvement in this activity, including, but no 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 and Release and considering the acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release the Annapolis Strider s, Inc.., the Road Runners Club of America, all sponsors and hosts and their representatives and successors, from any claim of liability arising from my involvement in this activity.
SIGNATURE OF ENTRANT: _________________________________________ DATE ___________________
SIGNATURE OF PARENT: _________________________________________ DATE ___________________
Mandatory if entrant is under age 18