Entry Form

Please Print Clearly DO NOT MAIL AFTER 9/10/99 Make checks payable to Downtown 5K, Inc. Mail to: Downtown 5K, Inc. P.O. Box 1940 East Greenwich, RI 02818-0663 5K Run & Walk $15 if postmarked by 9/1/99 $17 through 9/19/99 $20 race day, 9/18/99 Children who run in the 5K race pay full fee. Kids' Races $6 through 9/18/99 $7 on race day (9/19/99) Age on race day Gender Male Female First Name Last Name M I Address City State Zip Code Phone (In case we need to reach you with problems with your entry.) -- Law Enforcement Officer Wheelechair Entrant 5k Run/Walk Or Kid's Race Corporate Team - Team Name ___________________    Hasbro Youth Challenge Team  _________________________ All Hasbro youth team entry forms must be mailed together with the team declaration form. Waiver In consideration of the acceptance of this entry, I hereby for myself, heirs, executors, and administrators, waive and release any and all rights and claims for damages I may have against The Downtown 5K, Inc., HPCE-NE, the City of Providence, USATF, sponsors, race officials, organizers and volunteers associated with this event for any injury that may occur as a result of my participation in the event. _____________________________________________ Signature (Parent must sign if entrant is under 18)

Home | Charities | Registration | Youth Races | Entry Form | Pledge Form | Team Form | Team Guidelines | Prize Money & Awards | Links | Press Releases | Contact