Please PRINT this form and send it to address listed below.


In consideration of this entry form being accepted, I for myself, my heirs, administrators and assigns hereby waive and release and all rights and claims of nature that I may have against the sponsors of this race.
O.. 5K ROAD RACE ................. O.. FUN RACE
(Please place an "X" in the red circle above for the race you are entering)


Name: _____________________________ Age_____ DOB ___________ Telephone ____________________
Street _____________________________ City _________________ State ____ ZIP __________
Signature _______________________________________________________
............. (Parent or Guardian signature for applicant under 18 years of age)

....
MALE ...... FEMALE .......... T-SHIRT SIZE: S....M....L....XL....XXL
........................................ (Circle one above) .................................... (Circle one above)

Before July 10, 2008 mail this entry form and FEE to:
Lisbon Recreation Department, 300 Lisbon Street, Lisbon, ME 04252
Questions? Call 207-353-2289 ext. 118