Detach Here and Mail

Please mail this entry with check made payable to "Cape May Point 5 Mile Run." P.O. Box 265, Cape May Point, NJ 08212

ENTRY FORM

 

Name:___________________________________________________________________ Age: _____

 

Permanent Address: ________________________________________________________Sex: _______

 

City: _____________________________________________________________State: _______ Zip ___________-

 

eMail Address:                                                                                                      

 

T-SHIRT PICKUP AT REGISTRATION LOCATION.   2 MILE 5 MILE

 

In consideration of this entry being accepted. I hereby, for myself, my heirs, Executors and Administrators, waive and release any claims that I may have against the Borough of Cape May Point, the sponsors, their representatives, successors, or assignees and any other person associated with this event for any injuries that may be suffered by me in this event. I also give permission for the use of my name and/or picture in any newspaper, broadcast or other account of this event. I certify that I am in physical condition for this event.

 

 

 

 

______________________________________________________________________

Signature                                     

 

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 If under 18, Parent/guardian must sign