Hello Teddy SHFRoosevelt Run 5K
Wednesday, August 28, 2013, 7:00 PM
Trailhead of GW Parkway Trail at Key Bridge

Across from Gateway Park in Rosslyn

Run along the Potomac River

www.safetyandhealthfoundation.org/roosevelt

                                            Full information:  703-927-4833 * racedirector@att.net

Enter on-line 
Enter by mail
$20 by August 23, $25 by August 27, $30 on August 28
Complete Results
Overall and age-group awards
Read our welcome letter
    

  • Complete 2012 Results (5K)
  • Complete 2011 Results (5K)
  • Complete 2010 Results (4M)

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    Roosevelt
    Run 5K • REGISTRATION FORM
    Make checks payable to SHF, 611 South Ivy Street, Arlington VA  22204

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    Name ___________________________________________________________   Gender (M F) [__] Age as of 08/28/2013 [___]


    Address _________________________________________________________    Birthdate __ __ - __ __ - __ __ __ __ (mm-dd-yyyy)


    City ST  ZIP ______________________________________________________    Phone     __ __ __ - __ __ __ - __ __ __ __


    E-mail ___________________________________________________________     T-shirt size [__] S M L XL   


    Enclosed is my entry fee:


    Mail-in prices:  Until August 23:       [_] $20                    Until August 27:      [_] $25                    Race-Day:    [_] $30            (Enter on-line )

     

    Enclosed is an additional tax-deductible donation of $_____ to [_] SHF

     

    By entering this event, I agree, warrant and covenant as follows:  I know that running is a potentially hazardous activity.  I should not enter or run in club activities unless I am 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 assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me.  Having read this waiver and knowing these facts, and in consideration of your acceptance of my application I, for myself and anyone entitled to act on my behalf, waive and release Safety and Health Foundation, Arlington County Virginia, National Park Service, Georgetown Running Company, Road Runners Club of America, USATF, and all sponsors, their directors, officers, employees, agents, 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 named in this waiver.  I acknowledge that the application fee shall be non-refundable.  I agree that the sponsors of this event may use my name and likeness for publicity purposes. 

     

     

    Signature _________________________________________________________ (parent or guardian if under 18)     Date _______________