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1200 Echo Ct, Falcon Field,, Peachtree City, GA

LYLE-BREWSTER POST 50

               ALL AMERICAN REGISTRATION FORM

or register online at:  www.active.com (search bar, type in All American Race   Peachtree City, GA)

(Please PRINT clearly with a ball-point pen. One application per entrant please)

____________________________________      _______________________      _____

  LAST NAME                                                           FIRST NAME                    MI

______________________________________________________________________

  ADDRESS

_______________________________________    _______    _________

  CITY                                                                  STATE         ZIP

(______)  ____________________    ________    _______      _________________

          PHONE                                   SEX M/F      AGE       BIRTHDATE (MM/DD/YY

___________________________________________________________________

  EMAIL:  ______________________________________

SHIRT SIZE:   (Not guaranteed. No shirt will be mailed.)

XS  ___     S ____     M ____    L ____    XL ____    2XL____    3XL____

EVENT:          5K Run/Walk  _____              10K  _____

ENTRY FEE:                              Regular              Late

                                                  by 4/30           After 5/1

5K & 10K                                      $30                 $35

Under 12                                      $25                 $30

Phantom Runner                            $30                 $30

Mail in applications must be received by May 19th

Entry Fee  $__________  Make check payable to American Legion Post 50 (print "AA Race" in check memo area)

RELEASE AND WAIVER (No application will be accepted without a signed waiver)

Waiver: I know that running in a road race is a potentially hazardous activity that could cause injury or death. By my signature, I certify that I am medically able to perform this event and am properly trained. In consideration of this entry, I waive any and all claims for myself and my heirs against Peachtree City Running Club, City of Peachtree City, race officials, sponsors, volunteers of the All American 5K/10K, and The American Legion Post 50 for injury or illness which may result directly or indirectly from my participation in this event. I assume all risks associated with this event including but not limited to, weather, traffic, road and path conditions, tunnels all such rishk being known and appreciated by me. I also give permission for the use of my name and/or picture in any account of this event. No headhones, strollers baby joggers, pets, inline skates, skateboards or bicycles allowed on the course. Due to safety concerns with the cart paths no motorized vehicles/wheelchairs will be allowed on the course.

SIGNATURE*: ________________________________________________   DATE: _________________

*PARENT/GUARDIAN SIGNATURE REQUIRED IF ENTRANT IS UNDER AGE 18.

 

 

 

 

 

 

V2.0 3 June 2019

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