1997 BayState Marathon & Half Marathon Entry Form

Safety Alert: For safety and insurance purposes, no baby strollers, in-line skates or dogs allowed in the race.
In order to receive a confirmation, please enclose a business size #10 SASE.
All fees are non-refundable and entries non-exchangeable.

Photocopies accepted, pass one on to a friend       For Official Use |__|__|__|__|

Marathon /__/ Half Marathon /__/  5K /__/  Kids Race /__/ (free but must complete form)

Last Name __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/                    

First Name  __/__/__/__/__/__/__/__/__/__/__/__/   Age /__/__/   Sex /__/
                                                     on race day
Address __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/

City: __/__/__/__/__/__/__/__/__/__/  State:__/__/  

Zip Code :/__/__/__/__/__/  Wheelchair: /__/

Home Phone (including Area Code): /__/__/__/   /__/__/__/--/__/__/__/__/

Team Name (Unlimited Members - Top 3 Score): /__/__/__/__/__/__/__/__/__/__/__/__/__/_

Team Category:     Male /__/    Female /__/    Mixed /__/

Best Previous Marathon Time: /__/  /__/__/   /__/__/     Year _/_/_/_
                            Hours   Minutes   Seconds 

Best Previous Half Marathon Time: /__/  /__/__/   /__/__/     Year _/_/_/_
                                 Hours   Minutes   Seconds 
                             
Check here if you would like info on the GLRR: /__/

 

Read waiver before signing

I know that running a road race is a potentially hazardous activity.  I should not enter and run unless I 
am medically able and properly trained. I agree to abide by any decision of a race official relative to my 
ability to safely complete the run.  I assume all risks associated with running in the event including, 
but not limited to:  falls, contact with other participants, the effects of weather, including high 
heat and or humidity, traffic, and the conditions of the road, all such risks being known and appreciated 
by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, 
for myself and anyone entitled to act on my behalf, waive and release all sponsors, the Greater Lowell 
Road Runners, the City of Lowell,  the Towns of Tyngsboro and Chelmsford, representatives, successors and 
volunteers  from all claims or  liabilities of any kind arising out of my participation in this event even 
though the liability may arise out of negligence or carelessness on the part of the person named in the waiver.  
I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other 
record of this event for any legitimate purpose. 
All fees are non-refundable and non-exchangeable.  We reserve the right to reject any entry.

 Signature:________________________________
          (parent or guardian if under 18)
You must be 18 years or older to enter the marathon
No Entries Accepted without Signature