REGISTRATION
Name ___________________
Address ___________________________________
City _______________ State________ Zip________
Phone ____________ Email____________________
Age on Race Day ____________ Male Female
T-Shirt Size: S
MLXL (size not guarenteed after 5/8/09)
MLXL (size not guarenteed after 5/8/09)___$14.00 postmarked on or before 5/20/10
___$16.00 after 5/20/10
*Waiver must be read and signed. I know that running is a potentially hazardous activity. I also know that there will be traffic on the course route and I assume the risk of running with traffic. In consideration of my acceptance of this entry, I hereby for myself, my heirs and assigns waive any and all claims I may have against the sponsors, race officials, volunteers, the town of Lee and the Dorothy Finnegan Scholarship Fund for any and all injuries suffered by me in said event. I attest that I am physically fit and have sufficiently trained for the completion of this event. I also grant permission for the use of any photographs, videotapes, motion pictures or any other recording of this event for any purpose.
Signature ____________________________
* Parent Signature if under 18 __________________________________
__________________________________Checks payable to: Dorothy Finnegan Scholarship
Mail to:
Dorothy Finnegan 5k30 Pine Ridge Rd.Lee, MA 01238Dorothy Finnegan 5k Race For Education
Helping Future Educators One Step At A Time
