14th
Annual Guilford Savings Bank Run
4 Mile Race & 1/2 Mile Children's Run
Sunday, May
18, 2008
9:00 am Children's Run
9:15 am 4 Mile Race
Register early!
Entry Form
(Can be Duplicated)
Last Name_______________________________First Name_______________________
Address_________________________City_________________State_____Zip________
Day Phone__(___)___________ Male __ Female __ Age ___ Date of
Birth ___/___/___
E-mail address___________________________________________________________
Waiver: Entry fees are not refundable. I know that participating in a road race is a
potentially hazardous activity. I will not enter and participate unless I am
medically able and properly trained. I assume all risks from participating in this
event and its related activities, including but not limited to, falls, contact with other
participants, effects of the weather (including extreme temperatures, ice and winds,
thunder and lightning),
traffic, and other conditions of the road, all such risks being known and appreciated by
me. Having read this waiver and release and knowing these facts and in
consideration of your accepting my entry fee and participation, I, for myself and anyone
entitled to act on my behalf waive and release the Town of Guilford, race officials,
Guilford Savings Bank, JB Sports LLC, John Bysiewicz, volunteers and all sponsors and their respective
affiliates, subsidiaries, principals, directors, agents, officers, employees of
contractors of from all claims or liabilities of any kind arising out of my
participation in this event or its related activities which I or my successors, assigns or
heirs may ever have nor or in the future against any of them. I grant permission to
all of the foregoing to use any photographs, motion pictures, recordings, or any other
record of this event for any lawful purpose.
___________________________________________________________________________
Signature of Athlete (Parent's signature if under 18)
Date
Application fee: 4 mile race
$17 (mail by May 16) Race Day Registration $20
Children's race $6 (mail by May 16) Race Day Registration $8
Make checks payable to: Guilford Savings Bank Run
Send to: JB Sports LLC, 2 Buena Vista Road, Branford, CT 06405