Celtic Solstice Five-Mile Race at
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Celtic Solstice Five-Miler in
___$10 Pre-Race through
___$35 Optional Brooks Winter Running Shirt Premium
____ Total Entry Fee Enclosed (Either $10 or $45, Check Payable to “Celtic Solstice Five-Miler”)
Jacket size is UniSex Men’s sizing) (Only 9 EXTRA SMALL/WOMEN'S SMALL LEFT, Only 12 SMALL/WOMEN's MEDIUM LEFT, Only 9 MEDIUM/WOMEN's LARGE LEFT)) to be put on a waiting list send two checks, on for $10 for the race and one for $35. First come first served post-race, if a jacket is not available your check will be returned or destroyed)
(Waiting List Only ___extra small) (Waiting
List Only Small)
(Waiting List Only___ Medium)
___Large ___ X Large ___ XXL
Email Address:_____________________________________________
City/State:_______________________ Personal Championchip Number _______________________
Age on Race Day ____ Date of Birth:_________ Sex: M __ F__
Waiver: I know that
participating in road races is a potentially hazardous event. I am voluntarily entering and assume all
risks associated with participating in the event. In consideration of your
acceptance of this application, I, for myself and anyone entitled to act on my
behalf waive and release the race organizing committee, the Mayor and City
Council of Baltimore City, the Departments of Recreation and Parks, Public
Works, the Falls Road Running Store, and the Parks and People Foundation, all
sponsors, all volunteers, and their representatives and successors, from
present and future claims and liabilities of any kind, known or unknown,
arising from my participation in this event or related activities. I grant permission for the foregoing person
to use any photographs or any other recording of my participation in this event
for any legitimate purpose without renumeration.
Required Signature on above line
Date
The Celtic Solstice Five-Miler is the final event of the 2006 Maryland RRCA Grand Prix Series. Please list the club that you are running for in the Grand Prix Series. If you ran the RRCA Club Challenge Ten-Miler in February, use that club.
Maryland RRCA Club Affiliation
___Annapolis Striders ___Montgomery County Road Runners ___RASAC
___Baltimore Road Runners ___Frederick Steeplechasers ___Queen City Striders
___Howard Country Striders ___DC Road Runners Club ___Other (List Below)
___Falls Road Running ___PG County Road Runners __________________
6247 Falls Road