Maine's Best 10K Road Race!
REGISTRATION
1) On-line Pre-Registration - CLOSED UNTIL MAY 1, 2011 NEXT YEAR *Fun Walk: $16.00 (includes T-shirt and post-race refreshments) You can register on-line for the 10K race or the Fun Walk up until August 18, 2010, by clicking below.
*10K Road Race: $18.00 (includes T-shirt and post-race refreshments)
*Fun Walk: $16.00 (includes T-shirt and post-race refreshments) You can register by mail for this 10K race or the Fun Walk up until August 13, 2010, by printing out the mail-in registration form at the bottom of this page. NOTE: Your registration must be received by August 4, 2010, in order to be guaranteed a T-shirt. 3) Race Day Registration: *Fun Walk: $20.00 (includes T-shirt - if available - and post-race refreshments) You can register in person the day of the race at the Westport Island Old Town Hall, beginning at 7:00 a.m. NOTE: The Fun Walk participants must register by no later than 8:15 a.m. The 10K Road Race runners must register no later than 8:30 a.m. 4) Picking Up Your Bib Numbers: All bib numbers for runners and walkers can be picked up on Race Day at the Westport Island Town Hall, beginning at 7:30 a .m. *The Fun Walk begins promptly at 8:30 a.m. The Fun Walk participants must pick up their bibs no later than 8:15 a.m. *The 10K race will start promptly at 9:00 a.m. The 10K runners must pick up their bibs no later than 8:30 a.m. MAIL-IN REGISTRATION FORM (See below): - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Mail-In Registration Form Westport Island Shore Run 10K Road Race and “Fun Walk” August 22, 2010, at 9:00 a.m. [“Fun Walk” Starts at 8:30 a.m.] Make checks payable to: Mail entry form to: PLEASE FILL OUT THIS FORM, SIGN IT, ENCLOSE FEE AND MAIL IT. THANKS!
Name:
Address:
City, State, Zip Code:
Daytime phone:
Email address:
Date of birth:
Age on race date:
Circle your gender: MALE FEMALE Circle T-shirt size: S M L XL (T-shirt guaranteed only if registration received by August 14, 2010) Mail-In Registration Due by August 13, 2010 (Circle ONE): 10K Race: $18.00 Waiver Must Be Read And Signed Before Mailing: I know that running is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I also know that although police protection will be provided, there will be traffic. I assume any and all risks associated with running this event, including but not limited to falls, contact with other participants, the effects of the weather, including high heat or humidity, and the conditions of the roads. Knowing these facts and in consideration of your accepting my entry fee, I hereby for myself, my heirs, executors, administrators or anyone who might claim on my behalf, covenant not to sue, and waive, release and discharge the Westport Island Shore Run Association, Town of Westport Island, Town of Wiscasset, County of Lincoln, Lincoln County Sheriff’s Department, Westport Island Community Association, Westport Island Volunteer Fire Department, 5K Sports Management, and any and all state, county and town officials and employees, race officials, volunteers and all sponsors, including but not limited to their agents, employees, assigns or anyone acting on their behalf, from any and all claims for death, personal injury, or property damage or whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to Westport Island Shore Run Association use of any photographs, videotapes, motion pictures, recording, or any other record of this event for any purpose. _______________________________ _____________ _____________________________________ Signature Date Parent's Signature if under 18
*10K Road Race: $18.00 (includes T-shirt and post-race refreshments)
You must be registered by August 4, 2010, in order to be guaranteed a T-shirt. Please be sure to indicate on your registration whether you will be running the 10K race, or doing the Fun Walk.
2) Mail-In Pre-Registration - CLOSED UNTIL MAY 1, 2011 NEXT YEAR
- PRINT OUT FORM AT BOTTOM OF THIS PAGE
Please be sure to indicate on your registration whether you will be running the 10K race, or doing the Fun Walk.
*10K Road Race: $22.00 (includes T-shirt - if available - and post-race refreshments)
Westport Island Shore Run
Westport Island Shore Run
c/o Rob Whitney
17 Phillips Street
Boston, MA 02114
Fun Walk: $16.00
*Applications for minors are not accepted without parent/guardian signature
