Poland High School Road Race App

Poland High School to hold Road Race :

 

Saturday, October 6, 2007, 9:00 a.m.

Poland Regional High School

$10 in advance --- $15 day of the race

 

Prizes for the top runners ---  Race t-shirt for the first 50 to register

 

All Proceeds go to help Light the Knights

 

Registration, check-in and number pick-up begins at 7 a.m. the day of the race in PRHS Lobby. Race time is 9:00 a.m.

Cut off for registration by mail is September 29.  Racers may continue to register by dropping registrations in the Co-curricular office or register the day of the race.  Parking will be available in the faculty and student parking lots on campus.

 

The course will feature a 5K loop beginning at the PRHS entrance and finishing at the Poland Regional High School Track.  Runners will run down Rt. 26, turn onto Tripp Lake Rd., intersecting with Bakerstown Rd. and finishing at PRHS Rt.11 parking lot. 

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Make Checks payable to Poland Regional High School, Light the Knights and mail with completed form to Cathy Griffiths, 28 Pine St., Mechanic Falls, ME  04256;  207-345-9835; e-mail categriffiths@msn.com; Or deliver to Poland Regional High School, Co-Curricular Office (998-5400 ext 136)

 

                                                                                                            ______________________________           

Last Name                                                     First Name                                                                     Telephone

 

                                                                                                                        __________________                       

Address                                                           City                              State                Zip           e-mail

 

 

Shirt Size:          Med        L           XL                Male          Female                  Age on 10/6/07

 

 

 

I know that running a race is a potentially hazardous activity.  I should not enter and run unless I am medically able and properly trained.  I agree to abide by any decision of a race official relative to my ability to safely complete the run.  I assume all risks associated with running this event including, but not limited to, falls, contact with other runners, the effects of weather, including high heat and/or humidity, traffic, the conditions of trails, allsuch risks being known and appreciated by me.  Having read this waiver and knowing these facts and in consideration of your accepting my entry, I for myself and anyone acting on my behalf, waive and release to Poland Light the Knights, Poland Regional High School, Knight’s Pride Boosters, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.  I hereby grant full permission to any and all of the above parties to use any photographs, videotapes, or any other record of this event.

 

 

SIGNATURE:                                                                                                                                                        DATE:                                                   

 

 

Parent or Guardian, if under 18:                                                                                           Print Name ______________________________