2010 Championship Series
If you are a member of the
Annapolis Striders you can register for all eight races in the Championship
Series all at one time.
The mail-in application
appears below.
Click here for
online registration via Active.
Fee: $20
(This fee is only available
to members of the Annapolis Striders)
The $20 fee will automatically register you for the eight races in the
Championship Series:
Valentines Day 5k 2/13/10
Cherry Pit 10 Mile 4/11/10
John Wall Mile 7/17/10
Dog Days 8k 8/1/10
Metric
Down’s Park 5 Mile 11/6/10
Anniversary Run 15k 12/12/10
(Details about these races
are found elsewhere on our website.)
You can of course register
for these races individually and still compete in the year long championship
for members. Click here for
championship series rule.
If you mail this in by
February 5, 2010 your name will be added to those who have pre-registered for
the first race of the series, the Valentines 5k.
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2010 Championship Series - COMPLETE ALL INFO., PLEASE
PRINT.
Make check payable to
Annapolis Striders, Inc. NO CASH BY MAIL.
Send with form to Melissa
Currence,
MAIL PRIOR TO FEBRUARY 5, 2010
LAST NAME _________________________________________________FIRST
NAME __________________________MI ______ GENDER [ ] M
[ ] F
STREET_____________________________________________________CITY/STATE
_________________________ ____________ZIP ________________
BIRTHDAY Month[ ] Day [ ]
Year [ ] AGE (as of Jan 1, 2010)
________________
PHONE ___________________________________________________ EMAIL ADDRESS
__________________________________________________________
EMERGENCY CONTACT PERSON _______________________________________________________EMERGENCY
CONTACT PHONE ______________________________________
WAIVER AND RELEASE: I know
that running is a potentially hazardous activity. I understand that I should not participate
unless medically able. I assume all
risks associated with involvement with this race, including but not limited to
falls, contact with participants, the effects of weather, including high heat
and/or humidity, the condition of the
course and/or road, traffic on the course - these risks being known and
appreciated by me. Having read this
Waiver and Release, knowing these facts, and in consideration of my being
accepted into this race, I, for myself and anyone entitled to act on my behalf,
waive and release the Annapolis Striders, the Road Runners Club of
SIGNATURE OF ENTRANT
__________________________________________________________________________DATE
_______________________
SIGNATURE OF PARENT IF ENTRANT UNDER AGE 18 __________ _______________________________________DATE _______________________