12th Annual Groton Town Forest Trail Runs - October 25, 2009 Please fill out one application for each runner if submitting as a family (children + parents/guardians).
Please check one: 9.5 mile run [ ]    (12:30 p.m.)                      3.4 mile run [ ]   (12:40 p.m.)
Please print the information below: Name____________________________Age____Date of Birth__________M [ ]    F [ ] Address___________________________Emergency Phone__________________ City/Town_________________________________State__________ZIP_____________ e-mail_________________________
Please Read and Sign: I, the undersigned, accept full responsibility for myself and for any injuries that I may incur during the 2009 running of the Groton Town Forest Trail Run. I have read the entire Home Page and I fully understand that participating in this event may be dangerous to my health. Sprained ankles, cuts, bruises, and broken bones are real possibilities. I hereby for myself, heirs, executors, and assigns, waive and release any and all rights and claims for any and all injuries suffered by me, however incurred or sustained, against the organizers, landowners, the Town of Groton, the West Groton Water District, the Squannacook River Runners, or any volunteer or race helper. I attest that I am physically fit, I understand the difficulties and hazards of trail running, I have trained sufficiently for the completion of this event, and my actions, mishaps, and medical costs are accountable to no one but myself. Signed_____________________________ Date_____________ (Parent or Guardian if under 18)
ENTRY FEES (Please note that the fee is non-refundable and bib numbers are non-transferable.): [ ] $15 Individual before 10/18/09  [ ] $20 Individual after 10/18/09 [ ] $35 Family before 10/18/09  [ ] $45 Family after 10/18/09 [ ] $0 Trail Race Directors (MUST PRE-REGISTER by mail or e-mail) Please make checks payable to: Groton Town Forest Trail Races
Mail entries to: Paul Funch, 92 Reedy Meadow Rd., Groton, MA 01450-1039