Arlington YMCA Mothers Day 10K
Sunday, May 8, 8:30 a.m.
Make checks payable to: YMCA
Arlington Mail to: Arlington YMCA, Attn: Road Race, 3422 N 13th
Street, Arlington, VA 22201
Info: 703-525-5420. Fax entries with credit card data to:
703-525-2148.
Name:
Address:
City:
State: Zip:
Phone:
E-Mail:
Date of Birth: Age (Day of Race):
Gender: M F
Shirt Size: S M L XL
Entry Fee: $12 YMCA Member before 5/1 $15 Non-Member before 5/1
$15 YMCA Member after 5/1 $18 Non-Member after 5/1
* Race Day Fee is $25
Waiver Must Be Read and Signed Before Mailing:
I know that running a race is potentially hazardous
activity
and I should not enter to complete unless I are meidcally able and
properly
trained. I agree to abide by any decision by a race official relative
to
my or my dog's ability to safely complete the race. I assume all risks
associated with competing in this event including, but not limited to
falls,
contact with another participant, the effects of the weather including
high heat and humidity and the conditions of the road, all such risks
being
known and appreciated by my. Having read this waiver and knowing these
facts and in consideration of your accepting my entry, I, for myself
and
anyone entitled to act on my behalf, waive and release the Arlington
YMCA,
and DC Road Runners Club and all other sponsors, their representatives
and successors from all claims of liabilities of any kind arising out
of
my and my dog's participation in this event or carelessness on the part
of persons named in this waiver. Further I grant permission to all of
the
foregoing to use any photographs, motion pictures, recordings, or any
other
record of this event for legitimate purposes.
