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Application |
2007 BayState Marathon
Lowell Sun 1/2
Marathon
First:______________ Last
Name:_________________
Address:____________________________________
City/Town________________________
State:________ Zip:__________
Sex:_________ Age (on 10/14):________
Marathon ______ Half______
Entry Fees:
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Marathon:
$55 received by 10/1, $65 10/1-10/14, $75 race day |
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Half:
$35 received by 10/1, $45 10/1-10/14, $55 race day |
Make checks payable to BayState Marathon
Total enclosed: ________
Mail to: BayState Marathon
Marx Running & Fitness Center
423C Great Road
Acton, MA 01720
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In consideration for this race entry being accepted, I hereby for
myself,
heirs, executors, administrators waive and release any and all rights
and
claim for damages I may have against the City of Lowell, the race
directors,
The Greater Lowell Roadrunners, all sponsors and any others associated
with
this race for any and all injuries suffered by me before, during, or
after this event. |
Signature: (Parent if under 18)
__________________________ Date__________
Official Use
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