Avon Running Entry Form - Baltimore (for women only) September 10 - 2000

IMPORTANT! Age on Race Day _______ Date of Birth (mm:dd:yy) ____:____:____
Last Name____________________ First Name____________________ MI_____
Street ____________________ City____________________
State ____ Zip _______ Day Phone ____________________Evening Phone ____________________
E-mail______________________________

Choose one:
10K Run
5K Walk/Run

Check all that apply:

	This is my first running/walking event
	Wheelchair participant (10K only)
Are you an:
	Avon Representative
	Avon Associate
	Avon Customer

Would you consider becoming an Avon customer? , An Avon Representative?
(we will not contact you unless you check this box)

Do you have an exceptional story to tell us (feel free to add pages)? ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

Team Entry: ALL TEAM MEMBERS MUST COMPLETE A SEPARATE ENTRY: All applications must be submitted together before race day.

	Mother/Daughter Team (10K for awards. All teams eligible for raffle. Must be present at awards ceremony to win). My partner's name : ____________________
	Open Team (10K awards only; no 5K division). Team Name:____________________ Team Captain's Name and Phone Number: ____________________________________

Previous best 10K time (if applicable): ___:___:___

Enclosed is my non-refundable entry fee:
$18 by mail (postmarked by September 5) online or in person.
Subtract $5 if you are an Avon Representative/Associate.
I want to make an additional contribution Women Entrepreneurs of Baltimore
_____ amount
_____ Total Amount Enclosed

I know that running/walking is a potentially hazardous activity. I agree not to enter and run/walk unless I am medically able and properly trained. I agree to abide by any decision of an event organizer relative to my ability to safely complete the run/walk. I assume all risks associated with running/walking in this event including, but not limited to: falls, contact with other participants, the effects of the weather, conditions of the course, all risks being known and appreciated by me. 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 Avon Products, Inc, Avon Running, RYKA, American Sporting Goods Corporation, Lady Foot Locker,The Finished Product, Race Director, Mayor and City Council of Baltimore, Department of Recreation & Parks, Baltimore, Baltimore Road Runners Club, Road Runners Club of America and 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 and entities named in this waiver. I grant permission to all of the foregoing to use my name, likeness and identity in any photographs, motion pictures, recordings or any other record of this event in perpetuity, throughout the world, in any media now known or developed later for any legitimate promotional purpose.
_______________________________________________ ____________________
Signature of entrant (parent or guardian if under 18 years of age) Date

Make check payable and mail with completed entry to:
Avon Running - Baltimore P.O. Box 5464 Towson, MD 21285