YANKEE HOMECOMING 10M & 5K
Newburyport, MA
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Tuesday July 29, 2008 6:25 PM (5K) 6:35 PM (10M) |
Entry Form
Yankee Homecoming 5k and 10 mile races. July 29, 2008 at 6:30 pm Print out this form when entering through the mail. This is not an Internet entry form. LAST NAME______________________FIRST NAME___________ AGE ON RACE DAY_______ SEX_____ ADDRESS______________________________________________ CITY______________________________STATE_______ZIP______ TEAM NAME _____________________CLUB NUMBER_____ WHEELCHAIR ENTRANT ______ RACE ENTERED (Check one) 10 Mile______$18.00 prior to 7/8 - after 7/8 $23 - race day $25.00 5K _________$18.00 prior to 7/8 - after 7/8 $23 - race day $25.00 TOTAL ___________ Mail all entries to PO Box 366, Newburyport, Massachusetts 01950
Waiver must be signed. SIGNATURE_________________________________________Signature of guardian if under 18_______________________ |
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