Mike Donohoe Memorial Road Race

2nd Annual Mike Donohoe Memorial Road Race

You may register for the Mike Donohoe Memorial Road Race online here:
or you may fill in the application below, print it, and send it with a check payable to M.F.N.E. to:
Mike Donohoe Memorial Road Race
P.O. Box 878
Georgetown, MA 01833.

First Name

Last Name

Age on 10/19/08: || Sex Female Male
T-shirt size S M L XL [if available]

Address:
Town/City:
State Zip Phone Email

Race:	Entry fee: $15 (received by 10/1; $20 after that) 5K race 5K walk Free Kid's Fun Run for age 8 and under
Donation (tax deductible as allowed by law)
Amount of check enclosed:

Remember -- You must sign below !!
One person per entry form. Photocopies accepted.

In consideration of this entry being accepted, I waive and release any and all claims for personal damages I may have against the organizers, town of Georgetown, sponsors of this race, and volunteers. I attest and verify that I am physically fit and have sufficiently trained for this event. I also willingly release any image or photographic, video, and film camera images of me which may chronicle the events for the news media or promotional use by the Michael J. Donohoe Road Race or Melanoma Foundation of New England.

_____________________________________________

Signature (Parent or Guardian if under 18)