23rd Baldi River Run & Fitness Walk
Sun May 29, 2022
Fitness walk:10:00 am$30.00
5 mile Run:10:30 am$30.00
BIB #

(text to be included at the top of the paper application)

Note: Lines 1-4 are mandatory. You cannot be entered into the race if they are not complete and legible.
1First Name 
2Last Name 
3Gender   MALE      FEMALE      (please circle one)
4Age(your age on race day)

5Birthday 
6Address 
7  
8City 
9State 
10Zipcode 
11Phone 
12Email 
13Shirt
Shirt Size
SmallMediumLargeX-Large
14Please check below if you want to enter in a special category 

Signature: __________________________________________________________ Date ____________________

Parent Signature (if under 18) ______________________________________ Date ____________________

My signature is in agreement to the following Waiver:

Waiver must be read and signed before mailing:

IN CONSIDERATION OF THIS ENTRY BEING ACCEPTED, I HEREBY FOR MYSELF, MY HEIRS, EXECUTORS, AND ADMINISTRATORS, WAIVE ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES I MAY HAVE AGAINST THE GARIBALDI CLUB, THE CITY OF HAVERHILL, MASS, ALL VOLUNTEERS, RACE PERSONNELL, VENDORS,  AND ALL SPONSORS, CONTRIBUTORS AND ORGANIZERS OF THIS EVENT.  I FURTHER UNDERSTAND THAT ALL FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE.  I ALSO AGREE TO ALLOW MY NAME AND PHOTO TO BE USED IN RESULTS, SOCIAL MEDIA, AND RACE ADVERTISING AS APPROPRIATE.