Join us for the ____2nd___ race in the Kids Championship Series. No fee, but registration is required. Register via mail using the form below or online by clicking here. Pre-registration preferred! Race will start at 10:00 am.

Please contact Susan Noble with questions at susanmnoble@verizon.net

OFFICIAL ENTRY FORM

B&A Trail Kids Run

March 1, 2009 – 10:00 a.m.

Severna Park High School

60 Robinson Road

Severna Park, MD 21146

To register, complete and return this form (no fee required).

Mail to: Annapolis Striders, Inc., P.O. Box 6815 , Annapolis, MD 21401

Name _____________________________________________________

Address _____________________________________________________

Age on March 1, 2009 _____________

Mom or Dad a Strider? Y N

Waiver and Release: I recognize that participation in this activity may involve

certain hazards. I understand that I should not participate unless medically able. I

assume the risks associated with involvement in this activity, including but not limited

to falls, contact with participants, effects of weather and road and traffic conditions,

these risks being known and appreciated by me. Having read this Waiver Release

and considering the acceptance of my application, I, for myself and anyone entitled

to act on my behalf, waive and release the Annapolis Striders, Inc., the Road Runners

Club of America, all sponsors and hosts, and their representatives and successors,
from any claim of liability arising from my involvement in this activity.

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SIGNATURE:

OR PARENT IF UNDER 18:

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