First Name

Last Name

Street

City

State

Zip Code

Sex

Age on Race Day

 

Phone (evening)

T-shirt Sizes -Adult

S M L XL

T-shirt sizes - Kids

S M L
Select one box only

Email Address

Entry Fee

How did you hear about our race?

Returning Runner Word of Mouth Local Newspapers Other Local Media Sources Internet Search Engines Cool Running Other Internet Sites Local Races Local Clubs Local Stores Postcard Poster Other

REMEMBER -YOU MUST SIGN BELOW!
In consideration for being accepted, I for myself, my heirs, executors, administrators, waive and release any and all rights against the sponsors, Squannacook River Runners, the town of Groton, the Groton Dunstable School District, USATF, RRCA and organizations holding this event arising from my participation in the Groton Road Race. I have trained for and am medically fit to participate. I grant permission to all the foregoing to use my photos or videos for any legitimate purpose.

 

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Signature (Parent or Guardian if under 18 )

You must complete, print and mail this form!