Fr ee Fall Classic
5 k R u n / Wa l k
THANKSGIVING DAY
November 22, 2007
Rochester Community Center , Community Way, Rochester, NH 03867 ENTRY FEES $5 INDIVIDUALS $15 FAMILIES Registration at the Community Center Entrance (Follow Signs)
To Benefit: Strafford County Homeless Shelter
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The course is a flat, fast, out and back certified 5k: NH07019RF 8:00 a.m. race start (Sunshine Start at 7:45 a.m. for walkers)
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NAME __________________________________________________________________ AGE_______ ADDRESS________________________________________CITY__________________ZIP_________ PHONE__________________________EMAIL______________________________GENDER: M F RUNNING CLUB_________________________________________________________
Runner (timed): ____ Walker: ____ ENTRY FEE: $5 FOR INDIVIDUALS $15 FOR FAMILIES
(PLEASE STAPLE FAMILY APPLICATIONS TOGETHER)
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$10 T-SHIRT (PLEASE ORDER BEFORE 11/1/07) _________ SIZE S__M__L__XL__ TOTAL ENCLOSED _________ MAKE CHECKS PAYABLE TO: ROCHESTER RUNNERS FREE FALL CLASSIC MAIL TO: P.O. BOX 727, ROCHESTER, NH 03866 QUESTIONS: Contact abbettfamily@verizon.net
RELEASE/WAIVER: I KNOW THAT RUNNING AND ROAD RACING ARE POTENTIALLY HAZARDOUS ACTIVITIES. I WILL NOT ENTER AND RUN IN THE ROCHESTER RUNNERS’ THANKSGIVING DAY 5K UNLESS I AM MEDICALLY ABLE AND PROPERLY TRAINED. I AGREE TO ABIDE BY ALL DECISIONS OF A RACE OFFICIAL RELATIVE TO MY ABILITY TO COMPLETE SAFELY IN THE EVENT. I ASSUME ALL RISK ASSOCIATED WITH PARTICIPATION IN THIS EVENT INCLUDING, BUT NOT LIMITED TO, FALLS, CONTACT WITH OTHER PARTICIPANTS, WEATHER, TRAFFIC AND THE CONDITIONS OF THE ROAD. ALL SUCH RISKS BEING KNOWN AND APPRECIATED BY ME. HAVING READ THIS WAIVER AND KNOWING THESE FACTS AND IN CONSIDERATION OF YOUR ACCEPTING MY APPLICATION, I, MYSELF, AND ANYONE ENTITLED TO ACT ON MY BEHALF WAIVE AND RELEASE ROCHESTER RUNNERS CLUB, ALL RACE ORGANIZERS, THE CITY OF ROCHESTER NH, THE STATE OF NEW HAMPSHIRE, ALL VOLUNTEERS, ALL SPONSORS, THEIR REPRESENTATIVES AND SUCCESSORS FROM ALL CLAIMS OR LIABILITIES OF ANY KIND ARISING OUT OF MY PARTICIPATION IN THIS EVENT, EVEN THOUGH THAT LIABILITY MAY ARISE OUT OF NEGLIGENCE OR CARELESSNESS ON THE PART OF THE PERSONS NAMED IN THIS WAIVER. I GRANT PERMISSION TO ALL OF THE FOREGOING TO USE ANY PHOTOGRAPHS, MOTION PICTURES, RECORDINGS, OR ANY OTHER RECORD OF THIS EVENT FOR ANY LEGITIMATE PURPOSE. I ACKNOWLEDGE THAT ENTRY FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE FOR ANY REASON.
SIGNATURE: ______________________________________________________________DATE___________ PARENT/GUARDIAN (IF UNDER 18) _________________________________________DATE___________