43rd ANNUAL
CHARLTON OLD HOME DAY ROAD RACE - 5 MILES
LABOR DAY, SEPTEMBER 7, 2009 New Start Time - 9:00 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. *
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:
Long sleeve T-shirts to all pre-entries
received by August 27, 2009.
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MAIL PRE-ENTRIES TO: c/o Rob Thomas
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ENTRY FEE: $10.00 pre entry (by August 27, 2009) $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.
43rd 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) __________________________________
(web)