| DATE: September
11, 2005
START TIME: Promptly at 9:00 am
REGISTRATION: September 11, 2005, starting at 8:00 am
PLACE: Vineyard Haven Public Library, a 10 minute walk, 4
blocks North on Main Street from the Vineyard Haven ferry terminal.
NUMBER PICK-UP: Race Day at the Vineyard Haven Public Library
ENTRY FEE: $15.00 all runners
AWARDS: T-shirts to the first 100 entrants.
FERRY INFORMATION: 508-477-8600 or www.islandferry.com
2005 8th Annual
5K Run/Walk for the Library Entry Form
| Name: __________________________________________________
Address: ________________________________________________
City: _____________________________ State: ____ Zip:
________
Phone:_______________ E-mail:____________________________
Age on race day: ____ Date of Birth: _______ Sex:
____
|
Please make checks payable to:
Tisbury Business Association
Mail to:
c/o Larry Gomez, Race Organizer
5K Run/Walk for the Library
PO Box 2734
Vineyard Haven , MA 02568-2734
In consideration of this entry being accepted, I hereby, for
myself and my heirs, executors or administrators, waive and
release all rights and claims for damages I may have against
the Tisbury Business Association, the town of Tisbury, USATF-New
England and the local USATF Association, and any and all sponsors
for any and all injuries incurred before, during, or after the
5K Run/Walk for the Library.
Signature of applicant (guardian if under 18)
______________________________ Date__________________
|
