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On-Line at Active.comFirst Name: [ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]
Last Name: [ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]
AGE: [ ][ ] SEX: [ ] Must Be Supplied for Age Division Awards
Street Address ______________________________________________
Town:_________________________ State:________ ZIP:__________
ENTRY FEE: $15.00 -- Race Day: $20.00.
* STUDENT'S ENTRY FEE: $10.00
Predicted 3 mile time
(minutes)___
I intend to obtain pledges in excess of $50 [ ]
In consideration of my being a participant in the cross-country race on May 18, 2008 in Newburyport, 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 all event organizers, the Travis Eliot Landreth Memorial Scholarship fund, and all other 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 therefrom.
SIGNATURE: (GUARDIAN IF UNDER18) _________________________________________ Date:___________
Checks payable to: Trav's Trail Run. Mail To: Trav's Trail Run, C/O Bob Manning, 1 Lorum St., Newburyport, Ma, 01950. For more information call Don Hennigar (978) 463-2876 or email dhennigar2@hotmail.com.
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Click here for Trav's Trail Run information.
Click here for a Trav's Trail Run pledge sheet.
