Application to Run Russell B. Cheney 50-K

This application form was published on the event's web-page www.teamslug.com


***DO NOT SEND ENTRY FEE WITH APPLICATION; YOU MUST BE CONFIRMED***

MOST SPECIAL NOTE: While there are no specific Rules; they are ,of course, subject to change.

Slug Mail to: John Harper, 240 Beechwood Avenue , Dover , DE 19901
E-mail, Website: teamslug1@comcast.net , Team Slug Webpage
Name____________________________

Address_______________________________

 

Phone_________________________
Slug / Non-Slug; T-Shirt size: L /XL
E-mail:_________________________________ -----------------------------------------------------------------------------------------------------------
*I understand to run this distance is dangerous and ridiculous. The RD has advised me not to do it. I choose to do it of my own free will, and hold no other person or party responsible/liable for injury except for myself:

_________________________________________
Printed Name/ Signature/Date

 

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