PLEASE CLICK HERE TO REGISTER ONLINE:
Sunday October 6th, 2013
Race time 9 am
Registration 8 am
St. Georges Technical High School
555 Hyetts Corner Road
Middletown, DE 19709
Alternate Mail-In Registration:
Fee $20.00 before Oct 1st, 2013
Fee: $25.00 after October 1st, 2013
Name ___________________________________________
Address _________________________________________
City ____________ State ____ Zip ____________________
Gender _____________________________ Age _________
Phone ___________________________________________
Email ____________________________________________
Tshirt size _______ (if received before September 1st 2013)
WAIVER: I know that running a road race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I assume all risks associated with running this event. Having read this waiver and knowing these facts and in consideration of your accepting my entry fee, I, for myself, and anyone entitled to act on my behalf, waive and release St. Georges Technical High School and the Amy Stevens Foundation, volunteers, and all sponsors, their representatives and successors, for all claims or liabilities of any kind arising out of my participation in this event.
Print name ____________________________________________________________
Signature _____________________________________________________________
Parent signature ________________________________________________________