|
23rd Annual Jim Kane Sugar Bowl 5 Miler
Hosted by the
L
Street Running Club
New Location -
Boston College High School - Dorchester
Thursday,
July 15, 2010 6:30 p.m.
.
 |
$20.00 Post-entry (Postmarked after July
10)
>
Early Number pick
up of Bib Number, Jersey - also registration Tuesday July 13,
6:00 to 8:00 pm at the M Street entrance to the Curley Community Center
Regular Number pick up & registration on
race day 4:30 - 6:15 pm
Discount for runners 65 or older $10 pre or post entry
.
Make Checks Payable to: L Street Running Club
.
Mail To: John
McDermott
403 Front Street
Weymouth, MA 02188 |
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Name (Please Print)
. |
Address
|
City,
State
Zip
[ ] [
] |
Phone #
|
|
All
applications postmarked by July 11th
will receive a Sugar Bowl Tank Top
.
Size (circle one): M
L XL XXL
|
|
How many Sugar Bowl Races have you run ? [
] |
|
|
Division
(check one only + gender)
|
| 15 & under [ ] |
16- 19 [ ] |
20- 24 [ ] |
| 25- 29 [ ] |
30- 34 [ ] |
35- 39 [ ] |
| 40- 44 [ ] |
45- 49 [ ] |
50- 54 [ ] |
| 55- 59 [ ] |
60- 64 [ ] |
65- 69 [ ] |
| 70- 74 [ ] |
75- 79 [ ] |
80+ [ ] |
| Athena (Women
140+) [ ]
Wheelchair [ ] |
| Heavyweight (Male 200-224 lbs.) [
] |
| Super Heavyweight (Male
225+)
[ ] |
| Male [ ]
Female [ ] |
|
| Disclaimer: By signing this entry form, I (for
myself, my heirs my executors and administrators) release all sponsors
and all officers and members of the L Street Running Club from all
liability or other responsibility for any injury or damages that may
occur in travel to or from or while running in or attending the
above activities and verify that I am trained and in good physical
condition. |
______________________________________
_______
Signature,
Date
(Parent or guardian if
applicant is under age 18) |
Please Note: Unsigned
forms will not be accepted
for pre or post registration.
|
processing information |
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