Andover Rails to Trails Bridge Run 5K · Andover Rails to Trails Bridge Run 5K Senior Center...

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Waiver In consideration of acceptance of this entry into the Road Race, I the undersigned intending to be legally bound to hereby, for myself, my heirs, executors, and administrators, waive and release any and all rights and claims for damages I may have against the race director and officials, Town officials, Town of Andover, Platt Systems, Ken Platt, Friends of Valley Falls, Andover Senior Center, Andover Parks and Rec, any and all race sponsors and supporters, volunteers, their agents, successors, and assigns, for any injuries suffered by me (or my family members) in this event. I assume all risks with entering this event. Including but not limited to falls, contact with other participants, effects of weather, including snow, ice, traffic, the condition of the race course. All such risks being known and appreciated by me. I attest and verify that I (and family members) are physically fit and sufficiently trained for the completion of this event and my (our) physical condition has been verified by a licensed medical doctor within the last six months. I know that bicycles, roller skates, ipods, headphones, and skateboards are not allowed on the course. Further, I hereby grant full permission to any and all the foregoing to use my photographs, videotapes, motion pictures, recordings and any other record of this event for any legitimate purposes without compensation or remuneration. The Andover Rails to Trails Bridge Run 5K Series on The Andover Hop River Greenway - Shaded || Hard Packed Surface USATF Certified Race Course: CT19012JHP Proceeds to assist the Andover Park and Recreation Commission in the maintenance of the Rails to Trails Hop River Greenway Parking - Senior Center at the Old Firehouse on Center Street, Andover, CT 06232 ______________________________ ______________ Signature Date ______________________________ ______________ Signature Parent/Guardian Date If under 18 years of age Mail payments to Platt Systems 41 Steele Farm Dr Manchester, CT 06042 Online at www.plattsys.com www.plattsys.com Registration Race #1 = August 8 || Race #2 = August 15 Race # 3 = August 22 || Race # 4 = August 29 (Cirde One) Name___________________________________Male/Female Race Day Age________________DOB_____/______/_______ Address____________________________________________ City_________________________________Zip____________ Phone ___________________________________________ Email______________________________________________ Entry Fee(s): $_20.00_ (before Aug 1) Andover Rails to Trails Bridge Run 5K Senior Center Building - Center St - Andover CT Summer Series Starting: Thursday Aug 8, 2019 Thursday Aug 8, 2019 Thursday Aug 15, 2019 Thursday Aug 22, 2019 Thursday Aug 29, 2019 Start Time: 6:30 PM South Windsor Purple Heart Half Marathon & 5K Monday Sept 2, 2019 at 8 am Flat Fast PR Course Labor Day 2019 Proceeds to Benefit Andover Parks & Recreation Rails to Trails Greenways Location Andover Rails to Trails Senior Center Parking Lot Center St Andover CT Event Time/Schedule 6:30 PM Start Day of registration from 5:00 PM– 6:20 PM Registration Fees $20.00 per race by August 5 $50 All four races. Checks payable to "Platt Systems" Checks payable to "Platt Systems" S Windsor Purple Heart Half Marathon & 5K (Sept 2, 2019 - 8 am) Access Physical Therapy || New Balance || Banner Water Stop & Shop || Finish Lynx || Platt Systems || Geissler's || Bakery on Main || AMS || Petersens Hardware 6:30 PM Start Time #1 - Thursday Aug 8, 2019 #2 - Thursday Aug 15, 2019 #3 - Thursday Aug 22, 2019 #4 - Thursday Aug 29, 2019 Dates

Transcript of Andover Rails to Trails Bridge Run 5K · Andover Rails to Trails Bridge Run 5K Senior Center...

Page 1: Andover Rails to Trails Bridge Run 5K · Andover Rails to Trails Bridge Run 5K Senior Center Building - Center St - Andover CT Summer Series Starting: Thursday Aug 8, 2019 Thursday

WaiverIn consideration of acceptance of this entry into the Road Race, I theundersigned intending to be legally bound to hereby, for myself, my heirs,executors, and administrators, waive and release any and all rights andclaims for damages I may have against the race director and officials,Town officials, Town of Andover, Platt Systems, Ken Platt, Friends ofValley Falls, Andover Senior Center, Andover Parks and Rec, anyand all race sponsors and supporters, volunteers, their agents,successors, and assigns, for any injuries suffered by me (or my familymembers) in this event. I assume all risks with entering this event.Including but not limited to falls, contact with other participants,effects of weather, including snow, ice, traffic, the condition of the racecourse.

All such risks being known and appreciated by me. I attest and verifythat I (and family members) are physically fit and sufficiently trainedfor the completion of this event and my (our) physical condition hasbeen verified by a licensed medical doctor within the last six months. Iknow that bicycles, roller skates, ipods, headphones, and skateboardsare not allowed on the course.

Further, I hereby grant full permission to any and all the foregoing touse my photographs, videotapes, motion pictures, recordings and anyother record of this event for any legitimate purposes withoutcompensation or remuneration.

The Andover Rails to Trails Bridge Run 5K Serieson The Andover Hop River Greenway - Shaded || Hard Packed Surface

USATF Certified Race Course: CT19012JHP

Proceeds to assist the Andover Park and Recreation Commission in the maintenanceof the Rails to Trails Hop River Greenway

Parking - Senior Center at the Old Firehouse on Center Street, Andover, CT 06232

______________________________ ______________Signature Date

______________________________ ______________

Signature Parent/Guardian Date

If under 18 years of age

Mail payments to

Platt Systems

41 Steele Farm Dr

Manchester, CT 06042

Online at

www.plattsys.com

www.plattsys.com

RegistrationRace #1 = August 8 || Race #2 = August 15Race # 3 = August 22 || Race # 4 = August 29 (Cirde One)

Name___________________________________Male/Female

Race Day Age________________DOB_____/______/_______

Address____________________________________________

City_________________________________Zip____________

Phone ___________________________________________

Email______________________________________________

Entry Fee(s): $_20.00_ (before Aug 1)

Andover Rails to Trails Bridge Run 5K

Senior Center Building - Center St - Andover CTSummer Series Starting: Thursday Aug 8, 2019

Thursday Aug 8, 2019Thursday Aug 15, 2019Thursday Aug 22, 2019Thursday Aug 29, 2019

Start Time: 6:30 PM

South Windsor Purple HeartHalf Marathon & 5KMonday Sept 2, 2019 at 8 amFlat Fast PR CourseLabor Day 2019

Proceeds to Benefit

Andover Parks & Recreation

Rails to Trails Greenways

Location

Andover Rails to Trails

Senior Center Parking Lot Center St

Andover CTEvent Time/Schedule

6:30 PM Start

Day of registration from5:00 PM– 6:20 PMRegistration Fees

$20.00 per race by August 5

$50 All four races.

Checks payable to"Platt Systems"

Checks payable to

"Platt Systems"

S Windsor Purple Heart Half Marathon & 5K (Sept 2, 2019 - 8 am) Access Physical Therapy || New Balance || Banner Water

Stop & Shop || Finish Lynx || Platt Systems || Geissler's || Bakeryon Main || AMS || Petersens Hardware

6:30 PM Start Time

#1 - Thursday Aug 8, 2019#2 - Thursday Aug 15, 2019#3 - Thursday Aug 22, 2019#4 - Thursday Aug 29, 2019

Dates