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Georgetown Half Marathon

Kaimont
Presented by Kaimont LLC
GeorgetownHalf
Mercy
Presented by Mercy Center Foundation U.S.A.
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GEORGETOWN HALF MARATHON

MAIL-IN ENTRY FORM

PDF | DOC


  • Please join us for Georgetown Half Marathon on Saturday, October 9, 2021, at Fletcher's Cove on C&O Canal Towpath, 4940 Canal Road, Washington DC.
  • We are joined by many who support the empowerment of girls through education in Nepal and in Kenya.
  • The race is hosted by Kaimont LLC, and proceeds to support Mercy Project in Kenya and Children's Himalayan Foundation in Nepal.
  • Distinctive awards, finisher medals, live music, and light fare follow our race.
  • To sponsor the race and get involved and register, please go to www.safetyandhealthfoundation.org/georgetownhalf
  • To learn more about trekking in Nepal and training in Kenya, please go to www.Kaimont.com
  • We welcome your participation and support!
  • Please make your check payable to
    SHF (Safety And Health Foundation)
    611 South Ivy Street, Arlington VA 22204-2429

    By entering this event, I agree, warrant and covenant as follows: I know that running is a potentially hazardous activity. I should not enter or run in competitive runs 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. I assume all risks associated with running in this race including, but not limited to, CONTRACTION OF DISEASE INCLUDING COVID-19, 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 National Park Service, RRCA, USATF, Kaimont LLC, Mercy Center Foundation U.S.A, DC Capital Striders, Safety And Health Foundation, and all sponsors, their directors, officers, employees, agents; 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.    I acknowledge that the application fee is non-refundable.    I agree that you may use my name and likeness for publicity purposes.

    Date __ __-__ __-__ __ __ __     Signature ___________________________________
    (parent or guardian if under 18)
    
    Name    ____________________________________________________________  M | F __   Age on 10/09/2021 __ __
    
    Address ____________________________________________________________  Birthdate ____ ____-____ ____-____ ____ ____ ____ (mm-dd-yyyy)
    
    City    ____________________________________________________________  ST ___ ___  ZIP  ____ ____ ____ ____ ____-____ ____ ____ ____
    
    E-mail  ____________________________________________________________________________  Phone ___ ___ ___-___ ___ ___-___ ___ ___ ___
    
    T-shirt (XS S M L XL XXL) _____  Best 13.1-mile time  ____:__ __  When/Where? _____________________________________________________
    
    Enclosed is my entry fee, payable to SHF:
    
    [_] $50 on or after January 1, 2021
    [_] $60 on or after March 1, 2021
    [_] $70 on or after May 1, 2021
    [_] $80 on or after July 1, 2021
    [_] $90 on or after September 1, 2021
    [_] $100 on or after October 1, 2021
    No race-day registration, please
    
    You may take a $10 discount for:
    [_] Active Duty Military or Students
    
    
    Enclosed is an additional tax-deductible donation of $____________ to [_] Mercy Center Foundation U.S.A. [_] Himalayan Children's Foundation [_] $ 5 Local [_] $ 10 County [_] $ 25 State [_] $ 50 Nation [_] $ 100 Continent [_] $ 250 World [_] $ 500 Galaxy [_] $1000 Universe
    Please make your donation check separate from your entry fee.
    We recognize all corporate and leading sponsors on our web page
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