2006 Champion Chris Chattin
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Men in Kilts 5K
 Sunday, November 9, 2008 8:30 AM Start
    Maryland State Fairgrounds
  Timonium, MD

Entry Fees: $10 prior to Irish Festival(Nov 7th) -- $15 thereafter 
no confirmations or refunds
First Name:    Last Name:     

Address:  

City:       State:        Zip:   -
Age on race day:           Sex: F                                                                                              
Date of Birth:   / /

Waist Size (for kilts)   (Menís Sizing 30-44)

Day Phone:   - -  Evening Phone: - -
 
Email:

I am enclosing my entry fee in the amount of:                              $
  I am enclosing an extra $15 to buy a kilt                                       $
     
   Total enclosed (absolutely no refunds):                                            $

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 Men in Kilts 5K Run/Walk, 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.

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Signature (parent or guardian if under 18)                                                              Date