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    Registration Form Pg2

    Uploaded by

    ÐawnWhitelock
    This registration form is for the Skipjack Run 5k, 10k, and fun run races being held on 10995 Roland Parks Rd. in Deal Island, MD on an unspecified date. Participants can choose between the 5k, 10k, or 2 mile fun run and must provide their name, address, phone, email, age, gender, and t-shirt size. The entry fee is $25 before race day and $35 on race day. The waiver releases the organizers from any liability for injuries sustained during the race.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Registration Form Pg2

    Uploaded by

    ÐawnWhitelock
    19 views1 page
    This registration form is for the Skipjack Run 5k, 10k, and fun run races being held on 10995 Roland Parks Rd. in Deal Island, MD on an unspecified date. Participants can choose between the 5k, 10k, or 2 mile fun run and must provide their name, address, phone, email, age, gender, and t-shirt size. The entry fee is $25 before race day and $35 on race day. The waiver releases the organizers from any liability for injuries sustained during the race.

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    Participant Info and Waiver

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    © © All Rights Reserved

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    This registration form is for the Skipjack Run 5k, 10k, and fun run races being held on 10995 Roland Parks Rd. in Deal Island, MD on an unspecified date. Participants can choose between the 5k, 10k, or 2 mile fun run and must provide their name, address, phone, email, age, gender, and t-shirt size. The entry fee is $25 before race day and $35 on race day. The waiver releases the organizers from any liability for injuries sustained during the race.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views1 page

    Registration Form Pg2

    Uploaded by

    ÐawnWhitelock
    This registration form is for the Skipjack Run 5k, 10k, and fun run races being held on 10995 Roland Parks Rd. in Deal Island, MD on an unspecified date. Participants can choose between the 5k, 10k, or 2 mile fun run and must provide their name, address, phone, email, age, gender, and t-shirt size. The entry fee is $25 before race day and $35 on race day. The waiver releases the organizers from any liability for injuries sustained during the race.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    REGISTRATION FORM

    Please mail check payable to:


    Skipjack Run - 10995 Roland Parks Rd.,
    Deal Island, MD 21821
    facebook.com/SkipjackRun 410.251.7787
    Dawn Whitelock, Race Director

    Please visit our facebook page for sponsorship info and volunteer opportunities!

    Choose your distance: 5k (3.1 miles) or 10k (6.2 miles) or 2 mile fun run
    Shirt Size Unisex S M L XL or Ladies S M L XL
    Gender: ______________ Age on Race Day: ____________ Entry Fee $25 ($35 Race Day)
    Full name: ___________________________________________________________________
    Mailing address: ______________________________________________________________
    _____________________________________________________________________________
    Cell phone: ____________________ E-mail: _______________________________________
    Simultaneous start for 5k and 10k. No changes permitted after start of race. Fun run will start
    ten minutes after competitive runners. Well-mannered canines on leashes, strollers and walkers
    welcome. All participants must be registered. Dogs, strollers and walkers must line up at the
    back of the start. Please keep all dogs to a maximum 3 foot leash. Clean up after your dog.

    Join the Crew Additional Sponsorship Levels


    Greenhorn $25 | Cook $50 | Deckhand $100 | First Mate $250 | Captain $500
    Event Waiver/Release of Liability
    In consideration of this entry, I waive any and all claims for myself and my heirs against officials, volunteers or
    sponsors holding this event for injury or illness which may directly or indirectly result from my participation. I
    further state that I am in proper physical condition to participate. I will permit the use of my name and pictures in
    media publications. I understand that the entry fee is non-refundable.

    Signature: ____________________________________________________ Date: __________

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