Sign
up on-line through Sign Me Up Sports at www.signmeup.com
or
Parker Road Race Entry Form 2007
Photocopies
accepted, one person per form, signature required
Please mail completed forms and checks to:
Parker Road Race, 49 Antietam
Street, Devens MA 01434
Age
on Race Day ______________ 
Male 
Female
Race:
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T-Shirt Size:
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Amount Enclosed $
Under 14: $12; $15 late registration (after May 1st)
Adult: $17; $20 late registration (after May 1st)
Make tax-deductible checks payable to: Parker Essential Fund
Waiver
(read
before signing):
I know that running is a potentially hazardous activity. I should not
enter and run unless I am medically able and properly trained. I agree to
abide by any decision of a race official relative to my ability to safely
complete the run. I assume all risks associated with running in the event
including, but not limited to: falls, contact with other participants, the
effects of weather, including high heat and / or humidity, traffic and the
conditions of the road, all risks being known and appreciated by me.
Having read this waiver and knowing these facts and in consideration of you
accepting my entry, I, for myself and anyone entitled to act on my behalf, waive
and release the F.W. Parker Charter Essential School, the race directors,
organizers, officials and volunteers, the Parker Essential Fund, the Devens
recreation Commission, the town of Devens, the landowners upon whose property
the courses are laid, the business sponsors and promoters of the races, USATF
and the N.E. Association of USATF from all claims of liabilities of any type and
kind, including any claims arising out of my participation in this event. I
grant permission for the use of any photographs, videotapes, motion pictures or
other recordings of this event for any purpose.
Signature (required)_______
Parent or Guardian if under 18
return to Parker Road Race Home Page
2 Mile Race
