199 Groton Road Race Entry Form

THE SQUANNACOOK RIVER RUNNERS & GROTON RECREATION

Present The

SIXTH ANNUAL GROTON 10K ROAD RACE

1:00 P.M. Sunday April 27, 1997

11:50 P.M. - 5K

11:45 P.M. - 2K Funrun

11:00 A.M. - Pre-schoolers Tots Trot

Start/Finish Line: Groton-Dunstable Regional School, Rt. 119, Groton MA
Take Exit 31 off Rt.495 and follow 119 W for 7 miles into Groton Ctr. Follow race signs.

Race	Age Limits	Fee-pre	Day of Race	Awards
10K	13& Over	$12	$15	age/5 deep
5K	9 & Over	$12/$5 (12 & under)	$15/$8	age/5 deep
2K	None	$12/$5 (12 & under)	$15/$8	ribbons all
Tots	0-6	$5	$8	ribbons all

Mail Entry To: Groton Road Race, Box 451, Groton MA 01450.
Checks Payable to: Groton Road Race
Information Line: (508) 448-8414, Call early for all team information.

(1 person per entry form)

First Name |__|__|__|__|__|__|__|__|__| Last Name |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

Address|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| City|__|__|__|__|__|__|__|__|__|__|__|__|

State |__|__| Zip |__|__|__|__|__|

Phone (eve.)|__|__|__| - |__|__|__| - |__|__|__|__| Gender (check ) M|__| F|__| Age on race day |__|__|

Race Length 10K|__| 5K|__| 2K|__| Wheelchair 10K|__| Tots (pre-schooler) |__| ( must check one)

T Shirt Size adult sizes S|__| M|__| L|__| XL|__| Kids Sizes S|__| M|__| L|__|

Team Name: (10 & 5K only) |__|__|__|__|__|__|__|__|__|__|__|__|

Catagory: Corporate|__| Running Club|__| School |__| Family|__|

In consideration for being accepted, I for myself, my heirs, executors, administrators, waive and release any and all rights against the sponsors, the town of Groton, the Groton Dunstable School District, USATF and organizations holding this event arising from my participation in the Groton Road Race. I have trained for and are medically fit to participate. I grant permission to all the foregoing to use my photos or videos for any legitimate purpose.
Signature____________________________ (Parent or Guardian if under 18)

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