2019 last run 5k entry form - albany events entry flyer back...mail this entry form with check...
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2019 LAST RUN 5K ENTRY FORM Name _______________________________________________________Address ________________________________________________________________________________________________________________Phone (Day) __________________ Phone (Evening) ________________ E-mail ___________________________________________________________ I would like an e-mail confirmation of receipt and payment.Male __ Female __ Date of Birth _____________Male __ Female __ Date of Birth _____________ Age (DAY OF RACE) ______In consideration of my entry to this race, I hereby release and waive any and all claims for damages I may have against the City of Albany, and any and all sponsors and their representatives and any official or participant for any injuries I may suffer in conjunction with this race. I also certify that I am in good physical condition and have trained for this race. Further, I hereby grant all permission to any and all the foregoing to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose.
Signature ___________________________________________________Print Name _______________________________ Date ________________________________________________________________________________Signature of Parent/Legal Guardian (If Under 18)
Registration Fee: check one___ $25 before Nov. 1 ___ $30 on or after Nov. 1___ $35 on or after Dec. 1
Registration Questions?Contact Ryan MurrayPh: 518.434.5415E-mail: [email protected]
City of Albany Office of Special Events & Cultural AffairsAttn: 5K CoordinatorCity Hall Room 402Albany, NY 12207
Mail this ENTRY FORM with check payable to City of Albany:
For more information, call 518.434.2032, visit www.albanyevents.org or follow albanyNYevents on Facebook, Instagram & Twitter!
Bib transfers must be completed online at zippyreg.com by Dec. 4. All entry fees are final and non-refundable.Due to the hour of the race, dogs and carriages are not permitted. The City of Albany reserves the right to cancelthe race due to weather conditions that cause the running surface to be hazardous to the runners’ safety. In the event of cancellation, no refunds will be issued.