3rd Annual JOGGING JOE SHAFRAN MEMORIAL RUN REGISTRATION FORM
3rd Annual JOGGING JOE SHAFRAN MEMORIAL RUN REGISTRATION FORM
(Print and Mail or Send)
Last Name:_________________________________
First Name_________________________________
(circle one) 5k Fun Run
Sex:_________ Age:__________
E-Mail Address:_____________________________
Mailing Address: ____________________________
Shirt Size: S M L XL (circle one)
Race Waiver Form
If you are picking up a race packet for a friend, the below waiver appears on ALL race entry forms and MUST be signed by ALL participants to enter ANY race. (If you registered on-line, you automatically signed the waiver). If you are unsure that your party has signed this form, please print it out and have it signed.
I, ____________________________ (name of the participant) know that running is a potentially hazardous activity. I should not enter and run unless I am physically fit, medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I hereby certify I am in good health, and I assume all risks associated with running this event, all risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry into this running event, I, for myself and anyone entitled to act on my behalf, waive and release, the City of Annapolis, their offices, directors, agents, volunteers and employees, Mayor and City Council, Department of Public Works, Recreation and Parks, Bluepoint Race Management LLC, 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 or entities named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings, videos or any other recording of this event for legitimate purpose. I understand that bicycles, skate boards, roller skates or inline skates, and music devices of any type are not allowed in this event and I will abide by this rule.
Signature of the Participant: ________________________________
(Parent/Guardian signature required if participant is less than 18 years old) Signed:________________________________ (Parent/Guardian if under 18)
Mail application to: Jogging Joe 5k; c/o 598 Pinedale Drive, Annapolis, MD 21401 Please make checks payable to “Bluepoint Race Management – Jogging Joe 5k”.
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Bluepoint Race Management & Coaching LLC | 598 Pinedale Drive | Annapolis | MD | 21401
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Summer/Fall Moore's Marines Long Distance Training - and- Kent Island Running NETWORK Week #20; 9 Oct
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Bluepoint Race Management & Coaching LLC | 598 Pinedale Drive | Annapolis | MD | 21401
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