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21st Annual Jim Kane Sugar Bowl 5
Miler
Hosted by the
L
Street
Running Club
Bayside Mall (on the Dorchester / South Boston Line )
Thursday, July
17, 2008 6:30 p.m.
.
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$17.00 Pre-entry (Postmarked by July 12)
$20.00 Post-entry (Postmarked after July 12)
>
Early Number pick up & registration Tuesday July 15, 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 #
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All applications postmarked by July 12th
will receive a Sugar Bowl Tank Top
.
Size (circle one): M L
XL XXL |
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How many Sugar Bowl Races have you run ? [
] |
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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 [ ] |
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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.
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______________________________________ _______
Signature,
Date
(Parent or guardian if applicant is under age 18) |
Please Note: Unsigned
forms will not be accepted
for pre or post registration.
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processing
information |
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