1st Annual
Time to Give 5k
A 5 kilometer foot race
9am 11 October 1997
Montclair, near Dumfries, Virginia
The online flyer is not yet ready.
Prince William Runners Club,
Box 602, Garrisonville Va 22463
E-mail us at
PWRC@AOL.COM
, phone
703-221-4209 (evenings), or find us at
http://users.aol.com/pwrc
Time to Give 5k 1997 Entry Form
Last Name______________________________ FirstName,Init_______________________
Address_______________________________________________________________________
City____________________________________________ State_____ Zip_________
Phone (day)(_______)_______________ Phone (evening) (_______)__________
Phone numbers to be used only if we need to call you about the race.
BirthDate Sex M F Age on
(m/d/y)_____/_____/_____ (circle)________ Race Day________
Shirt Size (circle) S M L XL
_______________
RRCA Waiver: I know that participating in this event, either as a runner,
walker or volunteer, is a potentially hazardous activity. I should not enter and
participate unless I am medically able and properly trained. I agree to abide by
any decision of a race official relative to my ability to safely complete the
event. I assume all risks associated with this event, including, but not limited
to, falls, contact with other participants, the effects of the weather,
including high heat and/or humidity, traffic and the conditions of the road, all
such risks being known and appreciated by me. Having read this waiver and
knowing these facts and in consideration of your accepting my entry, I, for
myself and anyone acting on my behalf, waive and release the Prince William
Runners Club and all sponsors, their representatives and successors from all
claims or liabilities of any kind arising out of my participation in this event
even though that liability may arise out of negligence or carelessness on the
part of the persons named in this waiver.
Applicant signature and date:
___________________________________ ____/____/____
If under 18, parent signature and date also:
___________________________________ ____/____/____
Before 6 October 1997, please mail entry form and non-refundable fee to
Prince William Runners Club,
Box 602, Garrisonville Va 22463