42nd ANNUAL
CHARLTON OLD HOME DAY ROAD RACE - 5 MILES
LABOR DAY, SEPTEMBER 1, 2008 10:00 A.M.
The course is an accurate 5 miles over rolling roads, modified figure 8 course.
Water Stations - Timed Splits - Mile Markers - Digital Clock
Sponsored By: Miniature Tool & Die,
Inc. * Powerhouse Gym -Webster *
Supported By: Alliance Realty, Inc. * Charlton Food Mart * David, Nancy, and Justin Landry * G&G Colonial Homes * Ronnie’s Seafood * Safety Source – Northeast * Smith Barney – Wendy Bellerive * Ted’s Package Store
Timing and Scoring By: Central Mass Striders Sanctioned By: USA Track & Field
Long sleeve T-shirts to all pre-entries received
by August 21, 2008.
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MAIL PRE-ENTRIES TO: c/o Rob Thomas
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ENTRY FEE: $10.00 pre entry (by August 21, 2008) $12.00 post entry No fee for 70+ Division Make checks payable to: Charlton Road Race Committee
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For more info, visit us at www.charltonsports.org or contact Rob Thomas at 508-248-1585 or robscotho@hotmail.com.
42nd ANNUAL
CHARLTON OLD HOME DAY ROAD RACE - 5 MILES
Please enter me in the Charlton
Old Home Day Road Race. I agree to assume all responsibility for all risk
of damage or injury to me as a participant in this event. In consideration of
being accepted as an entrant in the Charlton Old Home Day Road Race, I hereby,
for myself, my heirs, executors and administrators, release and discharge all
organizations and individuals associated with the race from all claims,
damages, rights of action, present or future, whether the same be known, anticipated,
or unanticipated, resulting from or arising out of, or in incident to, my
participation in this event. I hereby certify that I will not participate in
the race unless I am physically fit and sufficiently trained for competition in
the race. I also grant permission for the use of my name and/or picture in any
broadcast, photograph or other account of this race. I understand that
bicycles, skateboards, baby joggers or strollers, roller skates or blades,
animals, and radio headsets are not allowed in the race and I abide by this
guideline.
Signature (required)________________________________________
Parent Signature (if
under age 18) _____________________________
Name (please print)
________________________________________
Gender (please circle one): Male Female
Street
___________________________________________________ Age on race date ____________
Town, state, zip code
________________________________________
T-shirt size: S M
L XL
XXL
Running club/school
(if any) __________________________________