April Fool's Four-Mile Road Race April Fool's Four-Mile Road Race First Name: [ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]
Last Name: [ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]
AGE: [ ][ ] SEX: [ ]
Street Address ______________________________________________
Town:_________________________ State:________ ZIP:__________
Enclosed: Pre-entry $15.00 [ ] Post-entry $20.00 [ ] ..... Walkers Check Here [ ]
For safety reasons - No rollerblades, baby carriages, or dogs.
In consideration of my being a participant in the 4 mile road race on March 31, 2007 in Salisbury, MA, I, the undersigned do hereby agree to assume all risk of harm, injury, or loss of whatever nature resulting at said event and release, discharge, and forever hold harmless the Winner's Circle Running Club and all sponsors or contributors agents associated with this event, from any and all claims which might arise from my participation in said race or from traveling to or return from.
SIGNATURE: (GUARDIAN IF UNDER18) _________________________________________ Date:___________
Checks payable to: Winner's Circle Running Club. Mail To: April Fool's
Race, c/o Rob Robertson, 310 Great Bay Road, Greenland, NH, 03840.
For more information email
robrobertsoniii@comcast.net .
