2017 soundRUNNER Sea Legs Shuffle July 30, 2017

Until July 1 July 2 – July 29 Raceday

10-Mile $40 $45 $50 5K $26 $28 $30 Kids Fun Run $8 $9 $10 _____ 10 Mile ______5K ______Kids Run

Please print neatly (it makes for fewer typos on the results)

Checks Payable To: Sea Legs Shuffle 2 Buena Vista Road Branford, CT 06405

Last Name______First Name______

Address______

City______State______Zip______

Age______Male______Female______Date of Birth: / /

Email______

Waiver: I, the undersigned participant, intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of all the risks inherent in running (training and competition), including possible permanent disability or death, and agree to assume all those risks. AS A CONDITION OF MY PARTICIPATION IN THE SOUNDRUNNER GUILFORD SEA LEGS SHUFFLE, I HEREBY WAIVE ANY AND ALL RIGHTS TO CLAIMS FOR LOSS OR DAMAGES, INCLUDING ALL CLAIMS FOR LOSS OR DAMAGES CAUSED BY THE NEGLIEGENCE, ACTIVE OR PASSIVE, OF THE FOLLOWING: SOUND RUNNER, HOST FACILITIES, EVENT SPONSORS, EVENT COMMITTEES, TOWN OF GUILFORD, JB SPORTS, LLC OR ANY INDIVIDUALS OFFICIATING AT THE EVENTS OR SUPERVISING SUCH ACTIVITIES. In addition, I also agree to abide by and be governed by the rules of the Sea Legs Shuffle. Finally, I specifically acknowledge that I am aware of all the risks inherent in running and agree to assume those risks.

Signature______Date:______Parent must sign if competitor under 18.