Samuel Fuller School

3rd Annual Samuel Fuller Road Race

2010 10k Race

About the Race | 2009 Race Results
To sign up download the Race Entry Form PDF or fill out the form below:

Name
Address
City
State
Zip
Phone
Email
Date of Birth
Age(Day of Race):
Gender: Male Female
Shirt Size: S M L XL
I (or my child)will be running the: 1 mi. Kids Run 5K 10K
Payment options will be available after clicking Submit
Waiver Must Be Read and Signed Before Mailing:
I know that running a race is a potentially hazardous activity and I should not enter to complete unless I am medically able and properly trained. I agree to abide by any decision by a race official relative to my ability to safely complete the race. I assume all risks associated with competing in this event including, but not limited to falls, contact with another participant, the effects of the weather including high heat and humidity and the conditions of the trail, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Samuel Fuller School and all other sponsors, their representatives and successors from all claims of liabilities of any kind arising out of my participation in this event. Further I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes. My name between these slashes acts as my signature.
Signature
Date