Saturday, June 29, 2024
Two 5K runs, a family 3K, and a post-race picnic
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Send form and check to “ECDC” and mail it to
ECDC 5K, 901 South Highland Street, Arlington VA 22204
or bring this form with you on race day (race-day entrants are not guaranteed a t-shirt)
Name____________________________________________________Age on race day __ __ M/F __ Address_________________________________________________Birthdate ____ ____, _______ City, State, ZIP________________________________________Phone ______________________ E-mail______________________________________________________________________________ Event [__] ELITE 5K (8:00 AM) [__] OPEN 5K (8:45 AM) [__] FAMILY 3K (opens 9:30 AM) Enclosed is [__] $30 by May 31 [__] $35 by June 22 [__] $40 by June 29 Team of 3 [__] $5 discount per person for families of 3 or more Team Name ______________________________ Picnic-only [__] $10 Enclosed is an additional donation of $ ______ . Total enclosed: $ ______Waiver of liability: I know running a race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relevant to my ability to safely complete this event. I assume all risks associated with running in this event, including, but not limited to: CONTRACTION OF ILLNESS INCLUDING COVID19, falls, contact with other participants, effects of the weather, including high heat and/or humidity, and conditions of the course, 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, for myself and anyone entitled to act on my behalf, waive and release all sponsors, including District of Columbia, Arlington County Virginia, their elected and appointed officials and employees, Northern Virginia Regional Park Authority, ECDC International, RRCA, and USATF, their officers, directors, agents, and employees, and all officials of this event 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. I understand this event is conducted under the regulations of National Park Service. I agree to release my name and photo for publicity purposes. I agree that my name and address may be provided to the sponsors of this event. I agree my entry fee is non-refundable. Parent or guardian must sign for children under 18.
Signature (Parent or Guardian if under 18) _____________________________________ Date _____________