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presents 4th Annual Hawk Indoor Marathon Sunday, December 20, 2015 Thomas Jefferson Community Center, 3501 2nd Street South, Arlington, VA supported by Friends of Arlington Parks & Safety And Health Foundation
Make checks payable to RacePacket, PO Box 25094, Arlington VA 22202 First Name ______________________________ Last Name ________________________________ Address ________________________________________________________________ City, State, ZIP ______________________________________________________________ Phone __ __ __-__ __ __-__ __ __ __ E-Mail ________________________________________________________ Date of Birth ________________________ Age on 12/20/2015 __ __ Gender: [____] M / F Entry Fee: [_____] $65 $75 $100 Shirt Size: [____] S / M / L / XL Please read and sign waiver below before mailing: I know that running a race such as this is a potentially hazardous activity, and I assume all risks associated with such an event. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of the race officials relative to my ability to compete safely in this event. I assume all risks associated with running this event, including, but not limited to: falls, contact with other participants and non-participants, effects of weather (including high heat and/or humidity); traffic, the conditions of the road, all such risks being known and accepted by me and voluntarily undertaken. 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 Arlington County Virginia, Friends of Arlington Parks, Safety And Health Foundation, USATF, Road Runners Club of America, RacePacket, Inc., and all sponsors, their representatives and successors of this event from all claims or liabilities of any kind arising out of my participation in this event, even though liability may arise out of negligence or carelessness on the part of the person named in the waiver. I release my name and likeness to the sponsors of this event for publicity purposes. _______________________________ _____________ _____________________________________ Signature Date Parent's Signature if under 18 |
