Mail-in Registration Form
East End Road Race - July 17, 2016
Mail in Entry Fee:
Pre-Entry

Save a few bucks by registering online.

$30 until Mar 31
$35 Apr 1 to May 31
$40 Jun 1 to Jul 16
$40 Race day (if avail.)

Make Checks Payable To: Yankee Timing
Mail Entry To:

Yankee Timing
attn: East End Race
PO Box 3242
Nashua, NH 03060

         Name:  
 
      Address:  
 
         City:  
 
        State:    Zip:  
 
Daytime Phone:  Date of Birth:  Age on race date:  

Email Address: Team Name: Please check gender Gender: M F T-shirt Size SMLX

Waiver Must Be Read and Signed Before Mailing:
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 assume all risks associated with running including but not limited to falls, contact with other participants, the effects of the road and traffic; all such risks being known by me. Having read this waiver and knowing these facts, I, for myself and my heirs and assigns, and anyone else entitled to act on my behalf, do waive and release East End Cllub, Yankee Timing, Hustle Up Race Productions and the the City of Lowell and all sponsors, their directors and officers, from all claims of liabilities of any kind or nature whatsoever arising out of my voluntary participation in this race, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.

 
 
 
 
_______________________________  ___________ _____________________________________
 
Signature                        Date          Parent's Signature if under 18
 
 


Copyright 2015. All rights reserved. Contact: East End Road Race