RACE DETAILS
5K- $25
10K - $25
Certified and Chip Timed
SATURDAY: SEPT 17th, 2011

Start Time: 8:30am

*Required  
*First Name:   *Last Name:
*Address:
*City:   *Zip:
*Phone: Ex. 555-555-1212
*Email:
*Distance:  
* Gender:      
*Date of Birth:      
*Age:      
RELEASE FORM
In consideration to the acceptance of the entry, I hereby, for myself, my heirs executors and administrators, waive and release any and all rights and claims for damages I may have against the Wallingford YMCA, the Town of Wallingford, and any or all associate parties and sponsors, for any and all injuries suffered by me at this event. I attest and verify that I am physically fit and sufficiently trained to participate in the race. Further, I hereby grant the Wallingford Family YMCA permission to use any and all of the photographs, video tapes or any other record of myself in this event without compensation.

** This is a chip timed race. Pick up your chip on race day at the registration booth. **

For safety purposes, strollers and dogs are not permitted.

By clicking the button below you agree to all of the above.