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Presents the |
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Saturday March 13, 2010 11:00 AM
Start & Finish: NHTI Student Center, Concord, NH
Course: Simple, flat, fast, fun!
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Entry Fee: Donation. Give what you can to
NHTI X-C (tax-exempt number 02-6000618).
Pre-registration is encouraged. Please send large amounts of money (checks payable to NHTI X-C) to: Coach Perry Seagroves, 13 Godbout Dr., Concord, NH 03301. |
Prizes:
Top three men and women <14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
Also top three male and female walkers, Clydesdales (190+) and Fillies ( 140+)
Name:______________________________________________ Circle Gender: M F Age:______
Address:_____________________________________________ Phone:________________________
City:_______________________ State:____ Zip Code:________ Email:________________________
Circle
Category: Clydesdale
Filly Walk
Running Club:___________________________________
Waiver (must be signed below)
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I know that participating in the
NHTI X-C Spring-Ahead 5K is a potentially hazardous activity. I also
know that there will be traffic, perhaps, snow or ice on the course
and I assume the risk of running in traffic, on snow or ice. I also
assume any and all other risks associated with participation in an
event of this nature including, but not limited to falls, contact
with other participants, effects of weather, all such risks being
known and appreciated by me. Knowing these facts, and in consideration
of your accepting my entry donation, I hereby for myself, heirs, executors,
administrators or anyone else who might claim on my behalf, covenant
not to sue and waive release and discharge Northeast Delta Dental,
New Hampshire Technical Institute, 3C Race Productions LLC, all sponsors,
volunteers and race officials from any and all claims or liability
for death, personal injury or damage of any kind or nature arising
out of or in the course of participation in this event. This release
and waiver extends to all claims of every nature, whatsoever, foreseen,
known or unknown.
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___________________________ ___________ ______________________________
Signature Date Parent's Signature if under 18