4/19/2010 Salvation Army 5K

Present the
Saturday June 12, 2010 10:00 AM
Lewis & Clark Movers
131 Burke Street
Nashua, NH 03060
Course Map

A fast, & fun 5K Race & Fitness Walk to benefit the Salvation Army's Kids To Camp Fund.
Colorful Salvation Army 5K T-Shirts to the first 150 runners and walkers.
Raffle sponsored by 3C Race Productions including RoadID Kits, FuelBelts, and more.
Awards to top 2 M& F 18 & Under, 19-35, 36-59, and 60+
Pre-Entry Fee: $20.00 ::: Race Day Entry Fee: $25.00
Children 14 & Under only $12.00
Additional Donations to the Salvation Army are Greatly Appreciated!!!

For more information call (603) 889-5151 x14;

go to http://www.3CRaceProductions.com/RaceApps/SalvationArmy5K.htm
or email: maryann.picard@use.salvationarmy.org

Make check payable to: Nashua Salvation Army,

and mail to: Salvation Army Attn: Mary Ann Picard, One Montgomery Ave., Nashua NH 03060

Name :______________________________________ Circle Gender: M F Age:______

Address :_______________________________________ Phone:______________________

City :_ ___________________State:___ Zip Code:______ Email:________________________

Running Club:________________________________ Circle T-Shirt Size: S M L XL

I know that running is a potentially hazardous activity. I should not enter or run/walk this event
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/walk. I assume all risks associated with
running in this race including, but not limited to, falls, contact with other participants, the
effects of weather, including high heat and/or humidity, the conditions of the road and traffic
on the course, all such risks being known and appreciated by me. Having read this waiver and
knowing these facts, and in consideration of your acceptance of my application, I, for myself
and anyone entitled to act on my behalf, waive and release the Nashua Salvation Army, 3C
Race Productions LLC, the city of Nashua, NH, 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. All fees are nonrefundable.
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4/19/2010 Salvation Army 5K
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Signature Date Parent's Signature if under 18

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