KINGSTON HALF MARATHON entry form  Sunday April 27, 2003, 10:30 am Half at 11:am
e-mail address:

name:

street:

city: prov./state

postal code:

country:

Age on Race Day:

Race Entry Half Marathon:

Five Km Run:

One Mile Run:   Age 12 and under sign up on race day ( Free )

AGE as of January 1 2002 for the KRRA Race Series, your age on Race day will count for awards

Age 20 Under: Age 20-29 Age 30-39 Age 40-49 Age 50-59 Age 60 over Male: Female:

  Prices:  Half Marathon $30.00 (US funds $20.00)  5K Run $20.00(us funds $15.00) before April 18, 2002   KRRA member discount $2.00 off entry fee. ChampionChip owners discount $3.00 off entry fee.

  Amount Paid:Please do not send cash or coin in the mail.

Please make all cheques payable to Kingston Road Runners Association. Mail your entries to Runners Choice, 260 Princess Street, Kingston, Ontario K7L 1B5 (1-613-542-2410)
or Kingston Half Marathon, KRRA, PO Box 1412, Kingston, Ontario, K7L 5C6

 
WAIVER:
In consideration of your accepting my entry of my child or ward, I, for myself, my heirs, my child or ward, my executors, and administrators of my child or ward, do hereby release and forever discharge the Corporation of the City of Kingston, the Kingston Road Runners Association, the Race Directors and the Race Committee, Sponsors and Supporting Companies, Competitors and Persons associated with the event from and against any kind of actions, claims, and costs with respect to death, injury, loss or damage, occurring prior to, during, or subsequent to the event, to my person or property however caused and not with standing that the same may have contributed to or occasioned by the negligence of any of the aforementioned. Signature:____________________________________________ Date:___________ Signature of Parent/Guardian (if entrant is under 18 years of age)._____________________________________________________