2021 5K River Run

2021 - 5K River Run for the Fund
* = Required Fields
Name:*
Email:*		Phone:*
Address1:*		Address2:
City:*		State:*
Zip:*
Gender:*		Age on Day of Race:*
Shirt Size:*
Sponsor:		Sponsor Amount:

Release and waiver (01.01.21): By clicking SIGN UP NOW!, I assume all risks associated with running in this event. In consideration of your accepting this entry I hereby for myself and my heirs, executors, or administrators, waive and release all rights and claims for damage I my have against the James A. Greenleaf, Jr. Memorial Scholarship Fund Inc., the city of New London, Connecticut, Ocean Beach Park, any sponsors, all race officials and volunteers, and any other individual or organizations associated with this event, for any death, personal injury, or property damage arising from or in the course of my participation in the event. (Pre Race Day Form) I also give permission to the organization to use my photographic likeness in all forms of media for advertising purposes. A Signature of Parent or Guardian must authorize if entrance is under the age of 18 on the day of the race.

Parent's Signature:



	After clicking SIGN UP NOW, you will be taken to the donation page where you will complete the registration process by paying for the 5K.

2021 - 5K River Run for the Fund