boo at the zoo registration form

Boo at the Zoo 5K Run and 1 Mile Monster Walk Saturday, October 17, 2015 8:00 am Race Location: Cape May County Park and Zoo, 707 Route 9, Cape May Court House, NJ 08210. Day of registration begins at 6:30am. Directions: Exit 11 off the Garden State Parkway Course Description: Flat course. Most of course is paved; however, there is some trail running. Proceeds: Sponsors Team Exit 10 for participation in the Police Unity Tour Entry Cost information: $25 Pre-registration, $30 day of. Day of registration begins at 6:30am. Other Information: As this is the first annual Boo at the Zoo 5K, this years race is not professionally timed. There will be general timer at the finish line. Next years race will be professionally timed as we expect this event to continually to grow. Make Checks to: Police Unity Tour Chapter 2 and mail check and registration form to: Middle Township Police Department ATTN: Ptlm. M. Pastore #116 31 W. Mechanic St. CMCH, NJ 08210 Contact: Michael Pastore 609-465-8700 [email protected]

BOO AT THE ZOO 5K AND MONSTER MILE Registration Form 10/17/2015

PLEASE PRINT LEGIBLY

Name_____________________________________________ Sex____Age______ Address ____________________________________________________________ City, State Zip ________________________________________________________ Phone ___________________________ E-mail ___________________________ SHIRT SIZE (circle One) SM M L XL NONE Event: 5K_____ Monster Mile_____ Name of affiliation of Club or Team _______________________________________ Waiver (MUST BE SIGNED) In consideration of your accepting this entry, I, the below signed, intending to be legally bound, for myself, my heirs, my executors and administrators, waive and release and any all rights and claims for damages I may have against the race, and sponsors and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest that I will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event. Furthermore, I hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I may appear for any legitimate purpose, including advertising and promotion. Signature_________________________________________Date________ Parent or Guardian if under 18_____________________________________ No refunds will be issued for any reason

boo at the zoo registration form

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