Entry
Fee: Entry fees are nonrefundable
(Please check appropriate box)
6K
Run
6K Walk
$12 before 7/31/10 $15 after 7/31/10
1 Mile Run
1 Mile Walk
$12 before 7/31/10 $15 after 7/31/10
T-Shirt Size: (Please
check appropriate box)
2X
XL
L
M
S
Youth (10-12)
Disclaimer: The undersigned hereby agrees to hold
harmless the sponsors for
any injuries to themselves before, during, or after the Nautical Race, and
specifically
do not hold the sponsors responsible for condition of the course of said race.
_____________________________________________
(Signature)
____________________________________________
If under 18, parent or guardian must also sign.
________________________________________
Name (Last, First, Middle Initial) Address
________________________________________
City
State Zip
________________________________________
Phone # Age
Sex e-mail address
In case of emergency, notify:____________________________