Run along the
$30 by October 3, $35 by October 25, $40 on October 26 on-site 3:45-4:45 PM
or use the form at the bottom to enter by mail
|Join us on the beautiful Mount Vernon Trail for
some treats and tricks on October 26. Enjoy music, food, and treats to chow
down on at the start and finish line. We highly encourage costumes! We
award prizes to the crowd-favorite costume as well as other categories.
On-site registration opens at 3:45 PM. Anyone of any age can register. With your registration fee, you get a T-shirt, finisher's medal, music before, during, and after the race, and post-race goodies and beverages to recharge your batteries.
Please pre-registeer by October 20 to be sure of a T-shirt in your size.
Awards: Restaurant and store gift certificates to the top 3 males and females overall and the top three male and female finishers in these age groups: 19 & under 20-29 30-39 40-49 50-59 60-69 70 & over
Name ___________________________________________________________ Gender (M F) [__] Age as of 10/26/2013 [___]
Address _________________________________________________________ Birthdate __ __ - __ __ - __ __ __ __ (mm-dd-yyyy)
City ST ZIP ______________________________________________________ Phone __ __ __ - __ __ __ - __ __ __ __
E-mail ___________________________________________________________ T-shirt size [__] S M L XL
Enclosed is my entry fee:
Enclosed is my entry fee: [_] $30 by October 3 [_] $35 by October 25 [_] $40 on race day October 26 on-site 3:45 PM to 4:45 PM
Enclosed is an additional tax-deductible donation of $__________ to SPECIAL OLYMPICS DC
[_] Enclosed is my check [_] Please charge my credit card ___ ___ ___ ___-___ ___ ___ ___-___ ___ ___ ___-___ ___ ___ ___ Exp.Date ___ ___-___ ___ CVV ___ ___ ___ Note: Active.com adds $3.25 to credit card transactions.
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,
PlanAhead Events - Washington DC, Special Oylmpics DC, 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 _______________