Labor Day Bay Cafe 5K
Monday, September 4, 2006 8:30 AM Start
Bay Cafe, 2809 Boston Street, Baltimore, MD

Make checks payable to: Bay Cafe 5K
Mail to: Falls Road Running, 6247 Falls Road, Baltimore, MD 21209
Do not mail after August 25 - Do not send cash
Type Information, Print, and Sign Entry Form

Event:    5K  RACE 
Entry Fees: $20 prior to Sept  1st
Entry Fees: $22 prior to Sept  1st, 2nd and 3rd 
Entry Fees: $25 on race dayprior to Sept  1st -- $30 thereafter 

 
no confirmations or refunds
 Last Name:     
Address:  
City:       State:        Zip:   -
Age on race day:           Sex: M  F                                                                                              
Date of Birth:   / /

 Shirt Size:           SM  MD  LG   XL                   

Day Phone:   - -  Evening Phone: - -

Email:
I am enclosing my entry fee in the amount of:                                      $
     Additional contribution to the Maryland RRCA                                    $
   Total enclosed (absolutely no refunds):                                               $

Waiver/Release Must be Signed Before Mailing:

In consideration of my application being accepted, I hereby for myself, my heirs, personal representatives and executors, waive, release and forever discharge any and all claims for loss or damages which I may have or may hereafter accrue to me against the organizers and sponsors of the Bay Cafe Labor Day 5K Race, including without limitation any sponsors, patrons or supporters and their respective representatives, successors, and assigns, for any and all injuries which might be suffered by me in said event. I attest and verify that I am physically fit and have sufficiently trained for the completion of this race. Further, I hereby grant full permission to any and all of the foregoing to use my name, photographs, videotapes, motion pictures, recordings or any other record of this event for any legitimate purpose, without compensation or remuneration.
 I understand that I must be a member of an RRCA Club to be eligible for cash prizes.

_________________________________________________________     __________
Signature (parent or guardian if under 18)                                                              Date
 I understand that I must be a member of an RRCA Club to be eligible for cash prizes
RRCA Club Affiliation
___Falls Road Running         ___Annapolis Striders           ____Howard County Striders
___Baltimore Road Runners   ___Montgomery Co RR          ____RASAC
___ MAC Runners               ___Frederick Steeplechasers  ____Queen City Striders
___DCRRC                        ___Westminster Road Runners ____PGCRRC