2017 Groton Road Race
Sun Apr 30, 2017
(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.
|3||Gender||MALE FEMALE (please circle one)|
|4||Age||(your age on race day)|
|Male SmallMale MediumMale LargeMale X-Large|
Female SmallFemale MediumFemale LargeFemale X-Large
Youth Small (cotton)Youth Medium (cotton)Youth Large (cotton)
Parent Signature (if under 18) ______________________________________ Date ____________________
My signature is in agreement to the following Waiver:
In consideration for being accepted, I for myself, my heirs, executors and administrators waive and release any and all rights against the Squannacook River Runners, the sponsors, the Town of Groton, the Groton-Dunstable Regional School District, USATF and organizations holding this event arising from my participation in the Groton Road Race. USATF New England and all of its officers and/or representatives shall be free from any liabilities or cliams for damages arising by reason of injuries to anyone during the conduct of this event. I have trained and am medically fit to participate. I grant permission to all the aforementioned to use my photos or videos for any legitimate purpose.