Irish American Road Race

10K Race, 5K Race

September 7, 2009
Malden, Massachusetts

Brew Run

All proceeds to benefit The American Lung Association
Time:	Packet: Pick-up Race Day at the Irish American Club from 9:00 AM - 10:30 AM 10K and 5K Races 11:00 AM
Place:	Malden Irish American Club 177 West St. Malden, MA
Distance:	10K Race, 5K Race
Entry Fee:	$20
Categories:	Male and Female: Under 18, 18-29, 30-39, 40-49, 50-59, 60 and over
Amenities:	Pizza, hot dogs and refreshments
Sponsors:	Bud Light, American Lung Association, Davidson Chevrolet
Contact:	Call Bill Hart at 781-321-7720 or send an email to dales@lungMA.org

Mail-in Registration Form

Irish American Road Race

September 7, 2009

Make checks payable to:
Irish American Road Race

Mail entry form to:
Irish American Club
177 West Street
Malden, MA 02148

FILL OUT THIS FORM, PRINT IT, SIGN IT, MAIL IT

Name:
Address:
City, State, Zip:
Daytime phone:
Email Address:
Date of birth:
Age on race date:
Circle your gender:	MALE FEMALE
T-Shirt Size:	S M L XL
Circle your event:	10K Race 5K Race
Team Name:
Waiver must be read and signed before mailing: I understand that running is a hazardous activity and I should not enter unless I am medically able or properly trained to do so. I hereby for myself, heirs, executors and administrator waive and release any and all rights and claims for damage I may have against the sponsors, coordinating groups and any individuals associated with the race, the representatives, successors and assigns, and will hold them harmless for any and all injuries suffered in connection with this event.
_______________________________ _____________ _____________________________________ Signature Date Parent's Signature if under 18 www.coolrunning.com is the complete online resource for runners.