ACE Physical Therapy & Sports Medicine Institute
presenting really nice bright green cinch bags to race walk champions and one-mile race winners
If it hurts, call ACE-PT first -- 703-205-1233
Honest Sport™- electrolytes and fuel
Bring a bottle home!
EVENTS and approximate start times:
Name ___________________________________ Phone ________________________ M/F ____ Age on day of meet _______
Address ________________________________ City, State, ZIP _________________________________________________
E-mail ________________________________________________________________ Date of Birth ___-___-______
Expect me: [__] JANUARY 14 [__] JANUARY 28 [__] FEBRUARY 11 [__] All 3
[_] Free (Students up to 8th grade) (Student up to 8th grade may use this form) [_] $3 per meet x__ meets (high school students) ($ 8 for all 3 meets before December 31) [_] $4 per meet x__ meets (PVTC members) ($11 for all 3 meets before December 31) [_] $5 per meet x__ meets (all others) ($14 for all 3 meets before December 31) [_] To help keep these meets free for children, here is a donation of $ ______ . Total enclosed: $ ______ [_] I will help as a volunteer. Please call me. WE NEED TIMERS FOR 55-METER - 6:45 PM to 7:30 PM
For more info about volunteering, see http://pvtc.org/timers.htm or e-mail PVTCSECRETARY@GMAIL.COM
I know running a race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relevant to my ability to safely complete this event. I assume all risks associated with running in this event, including, but not limited to: falls, contact with other participants, effects of the weather, including high heat and/or humidity, and conditions of the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release all sponsors, including Arlington County VA, their elected and appointed officials and employees, Potomac Valley Track Club, RRCA, USATF, their officers, directors, agents, and employees, and all officials of this event 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 understand this event is conducted under the regulations of Arlington County VA. I agree to release my name and photo for publicity purposes. I understand that my name and address will be provided to the sponsors of this event. Parent or guardian must sign for children under 18.
Signature (Parent or Guardian if under 18) __________________________________________ Date ______________
Indoor tracks in DC Area: