Niantic 1/2 Marathon & 5K Entry Form
September 21, 2008

Registration on-line through

One form needs to be filled out and signed for each participant.
Total participation limited to 1500!!!!
All race fees non-refundable and non-transferable.

Send form with check or money order payable to:
 Niantic Bay Marathon
 2 Buena Vista Rd
Branford, CT  06405

Name:  Last MI First
Address:
City: ST: Zip: Phone #
Sex: Male: Female: Age: Date of Birth:
USATF No. ChampionChip #
Email:
1/2 Marathon 5K
Before August 1 $35 $21
August 1 - September 19 $40 $23

Raceday (if available)

 $45 $25
I know that running a road race is a potentially hazardous activity. I will not enter and run unless I am medically able and properly trained. I agree to abide by any decision on any race official as to my ability to safely complete the run. I assume all risks with running this event, including but not limited to falls, contact with other participants, effects of weather, including high heat and humidity, traffic and the condition of the road, 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, Myself and anyone entitled to act in my behalf waive and release the Niantic Bay Marathon Organizing Committee, JB Sports LLC., Town of East Lyme, The State of Connecticut, race officials, Volunteers, and all sponsors from all claims or liabilities of any kind arising out of my participation in this event, I grant permission to all of the foregoing to use any photographs, Motion pictures, recordings or any other record of this event for any legitimate purposes. I know that dogs, bicycles, in-line skates, and baby joggers are not allowed on the course.
Signature (Parent must sign if competitor under 18) ______________________Date ___________