On Eagles Wings 10K Race

Registration For 14th Annual

On Eagles’ Wings 10K Race 1K Fun Run, & 3K Walk

Date & Time: Friday, November 10th, 2017, 10:00 AM

Location: Grace Evangelical Lutheran Church/Grace Christian Academy 3233 Annandale Rd Falls Church, VA 22042

Fee: 10K--$40 1K Fun Run & 3K Walk—Free Register on line www.gracechristianacademy.org/10K or Mail Entry Form and Check (payable to Grace Christian Academy) to: On Eagles’ Wings 10K c/o Daryl Knuth 14809 Spring Meadows Drive Darnestown, MD 20874

Race Day Registration is Acceptable – cash, check or credit cards accepted.

Long Sleeve T-Shirt Size: Circle S M L XL

Further details at www.gracechristianacademy.org/10K

Last Name: ______First Name: ______Address: ______City/State: ______ZIP: ______Phone Number: ______E-Mail: ______Gender: M ____ F ____ DOB: ______Age: ______I know that running is a potentially hazardous activity. I should not enter or run in this event unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release the Road Runners Club of America, the D.C. Road Runners Club, Grace Evangelical Lutheran Church, and all sponsors, their representatives and successors form 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.

Signature: ______Date: ______