Merrimac Old Home Days

2 Mile Road Race & Fitness Walk

1/2 Mile Fun Run for Ages 1-8

Sponsored by Economy Co-Operative Bank and Journeay Insurance Agency. Start/finish by the Winner's Circle Running Club

First Name: [ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]

Last Name: [ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]

AGE: [ ][ ] SEX: [ ]

Street Address ______________________________________________   

Town:_________________________  State:________   ZIP:__________

Telephone #:_________________  Email:_________________________ 

Check: 2 MILE RUN___  WALK___  FUN RUN___    

In signing this entry, I hereby waive and release any and all rights and claims for damages I may have against race officials and/or race sponsors.

SIGNATURE: (guardian if under 18) ______________________________ 

DATE: ____________

Mail To: Old Home Days, C/O Bob Randall, PO Box 323, Merrimac, MA 01860. For more information call Bob Randall @ (978) 346-9240 or email RANDMEMBER@aol.com.

Click here for Merrimac Old Home Days Race/Walk information.