Half Marathon / Half RELAY / 20K / 5K / Kids Fun Run
Until January 21 / $45 / $75 / $45 / $28 / $7
Until June 13 / $55 / $75 / $55 / $30 / $8
Until August 16 / $60 / $80 / $60 / $32 / $9
After August 16 / $65 / $90 / $65 / $35 / $10

Please return to: New Haven Road Race, Inc.

2 Buena Vista Road

Branford, CT 06405

Check one:

_____ Half Marathon _____ 20K _____ 5K _____ Kids Fun Run

(see page 2 form for the team relay!)

Check if applicable:

_____ Clydesdale/Athena _____Police/Fire _____Military _____Wheelchair _____ Judge/Lawyer

Shirt size (check one):

____XS ____S ____M ____Large ____XL ____XXL

Last Name First Name

Address

City State Zip

______/ /

Age Male Female Date of Birth

Email Address

WAIVER: I know that running a road race is a potentially hazardous activity. I will not enter and run unless I am medically able and properly trained. I agree to abide by any decision on any race official as to my ability to safely complete the run. I assume all risks with running this event, including but not limited to falls, contact with other participants, effects of weather, including high heat and humidity, traffic and the condition of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, Myself and anyone entitled to act in my behalf waive and release the City of New Haven, Faxon Law Group, JB Sports LLC, race officials, volunteers, and all sponsors from all claims or liabilities of any kind arising out of my participation in this event, I grant permission to all of the foregoing to use any photographs, Motion pictures, recordings or any other record of this event for any legitimate purposes. I know that dogs, bicycles, in-line skates, MP3 players, and baby joggers are not allowed on the course.

Signature (parent must sign if participant is under 18 years of age) Date

2 Person Half Marathon RELAY

Relay (per team)
Until August 16 / $80
After August 16 / $90

Please return checks to: New Haven Road Race

2 Buena Vista Rd. Branford, CT 06405

TEAM NAME:______

1st LEG PARTICIPANT:

Last Name First Name

Address

City State Zip

______/ /

Age Male Female Date of Birth

Email Address

Shirt size (check one): ____XS ____S ____M ____L ____XL ____XXL

WAIVER: I know that running a road race is a potentially hazardous activity. I will not enter and run unless I am medically able and properly trained. I agree to abide by any decision on any race official as to my ability to safely complete the run. I assume all risks with running this event, including but not limited to falls, contact with other participants, effects of weather, including high heat and humidity, traffic and the condition of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, Myself and anyone entitled to act in my behalf waive and release the City of New Haven, Faxon Law Group, JB Sports LLC, race officials, volunteers, and all sponsors from all claims or liabilities of any kind arising out of my participation in this event, I grant permission to all of the foregoing to use any photographs, Motion pictures, recordings or any other record of this event for any legitimate purposes. I know that dogs, bicycles, in-line skates, MP3 players, and baby joggers are not allowed on the course.

Signature (parent must sign if participant is under 18 years of age) Date

2nd LEG PARTICIPANT:

Last Name First Name

Address

City State Zip

______/ /

Age Male Female Date of Birth

Email Address

Shirt size (check one): ____XS ____S ____M ____L ____XL ____XXL

WAIVER: I know that running a road race is a potentially hazardous activity. I will not enter and run unless I am medically able and properly trained. I agree to abide by any decision on any race official as to my ability to safely complete the run. I assume all risks with running this event, including but not limited to falls, contact with other participants, effects of weather, including high heat and humidity, traffic and the condition of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, Myself and anyone entitled to act in my behalf waive and release the City of New Haven, Faxon Law Group, JB Sports LLC, race officials, volunteers, and all sponsors from all claims or liabilities of any kind arising out of my participation in this event, I grant permission to all of the foregoing to use any photographs, Motion pictures, recordings or any other record of this event for any legitimate purposes. I know that dogs, bicycles, in-line skates, MP3 players, and baby joggers are not allowed on the course.

Signature (parent must sign if participant is under 18 years of age) Date