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Signature   Date

Signature of parent if under 18   In consideration of my acceptance of this entry I intend to be legally bound, hereby for myself, my heirs, executors and administrators waive and release any and all claims for personal damage I may have against the city of Somerville where the event is being held in, organizers, B.A. Event Promotions, Somerville Striders Athletic Club, Paul Collyer, all sponsors of the race and I attest and verify that I am physically fit and sufficiently trained for this event on 3/15/09. I also understand that there are no refunds regardless of the circumstances. I also understand that I must be present to receive any merchandise I have ordered - WE WILL NOT MAIL OUT

Please address all checks and money orders to B.A. Event Promotions and mail to
B.A. Event Promotions 224 1/2 Chandler Street #1  Worcester, Massachusetts 01609
(617) 625-2140