NORTON TRACK BOOSTERS 5K REGISTRATION AVAILABLE NOW!!

Online REGISTRATION can be done at:

https://www.active.com/event_detail.cfm?event_id=1989564

Or you can print the below form and send with check made out to "Norton Track Boosters" to:

JoAnne D'Onofrio
3 Hadley Road
Norton, MA 02766

REGISTRATION: A $20 (5K) / $10 (1 Mile) non-refundable entry fee prior to November 7th, 2010, $25 (5K) / $10 (1 Mile) thereafter. Make checks payable to “Norton High School Track and Field Boosters,” and mail them to: Norton High School XC & Track and Field 5K c/o Joanne D’Onofrio, 3 Hadley Road, Norton, MA 02766. Race day registration from 9:00 a.m. to 10:45 a.m. at the Mansfield Holiday Inn.

RACE DIRECTOR/INFORMATION: Kent Taylor (508) 789-8791

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

First Name: _______________________Last Name: _____________________


Street Address:___________________________________________________


City, State, Zip:___________________________________________________


Phone#:_________________________


E-mail:_____________________________________________________


Age:__________Date of birth:__________________Gender: (circle one ) Male or Female


Race (check one): 5K_____ 1 Mile Fun Run (12 & Under):________


Tee-shirt size: (circle one) S M L XL


WAIVER OF LIABILITY: I know that running is a potentially hazardous activity. I should not run unless I am medically able and properly trained. I assume all risks including but not limited to falls, contact with other participants, and the effects of weather, traffic and road conditions, all such risks being known and accepted by me. In consideration of your accepting my entry, I hereby for myself, my heirs, executors, administrators, do release and discharge the City of Mansfield, the City of Norton, the Mansfield Holiday Inn, all persons and/or sponsors, their directors, officers, employees, agents, representatives, and successors officially connected with this fundraising event from and against all damages and/or actions which might arise out of my traveling to, participating in, and returning from this event. PUBLICITY WAIVER: I grant permission for photos, motion pictures, recordings, or any other record of this event for any legitimate purpose.

Participant Signature: _______________________________________________Date:________________

(Parent/Guardian must sign if participant is under 18 years of age)