Capital Running Company Veterans Day 10K
Sunday, November 11, 2001  8:00 AM
Crystal City, VA

Make check payable to: Veterans Day 10K
Mail to: Capital Running Company Veterans Day 10K, 13710 Ashby Road, Rockville, MD 20853-2903
Fax Credit Card Entries to: (301) 871-0006
Do not mail after November 5, or fax after November 7                  Team Information

Today's Date: , 2001                                                                                                                                                             
Event: 10K        Wheelchair         I want to volunteer
Entry Fee: $20  $23 if postmarked after October 29   $25 on Nov 10 and raceday   Register online and save $2
                                                                                                                 
I am a ChampionChip owner and am deducting $2.  My Chip number is  
I want to buy my own ChampionChip.  I am enclosing $35 payable to Capital Running Co.

Last Name:
Address:
City: State: Zip: -
Age on race day: Sex: M F         E-Mail:
Date of Birth: / / Shirt Size:  S M L XL      
Day Phone: - - Night Phone: - -

Credit Card: MC Visa - - - Exp:
Cardholder's Signature (Mandatory) __________________________________________

Waiver/Release Must be Signed Before Mailing:

I know that running is a potentially hazardous activity and I should not enter unless I am medically able and properly trained. I assume all risks associated with running in this event including, but not limited to, falls, contact with other participants, the effects of weather and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing the facts and inconsideration of your accepting my entry, I, for myself, and anyone else acting on my benefit waive and release and indemnify the Capital Running Company Veterans Day 10K, Capital Running Company, plus all sponsors, their representatives and assignors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Race management and finish line services provided by Capital Running Company.

_________________________________________________________ __________
Signature (parent or guardian if under 18)                                                          Date