BAA Annual 5K Road Race*
Sunday May 20, 2018 - 9am
Start: Race day sign-in opens at 7:30 am. Race starts at 9am at the Anthony Street Sports Complex,
Anthony Street, Berkley, MA 02779¬.
Registration: $20 – prior to April 30th; $25 after April 30th¬¬.
You may register online at https://www.RunReg.com/berkley5k or mail this completed form along with your check or money order to:
BAA 5K PO BOX 331, N Dighton, MA 02764. Please do not send cash. Entry fee is non-refundable.
Awards: 1st male and female overall, 1st male and female Berkley resident and top 3 male and female runners in each group: 12 and under, 13-18, 19-29, 30-39, 40-49, 50-59, 60-69, and 70+
T-Shirts: Quality short sleeve t-shirt to first 100 registered walkers/runners.
Proceeds: All proceeds support the Berkley Athletic Association.
Course & Timing: Rain or Shine. Residential course through scenic Berkley. Managed by JB’s Road Race Management.
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PLEASE PRINT CLEARLY AND RETURN WITH YOUR PAYMENT. UNSIGNED APPLICATIONS AND CHECKS WILL NOT BE PROCESSED.
NAME: ________________________________________________________ AGE: ________ SEX: ________
FIRST LAST
ADDRESS: _________________________________________________________________________________
STREET, CITY/TOWN, ZIP CODE
PHONE: __________________________________ EMAIL: _________________________________________
¬SHIRT SIZE (ADULT): SM _______ MD _______ LG ______ XL ______
CHOOSE ONE: RUN ______ WALK ______
WAIVER AND RELEASE FROM LIABILITY: In consideration of this entry being accepted, I do hereby forfeit, waive release the Berkley Athletic Association and any organization or person connected with this event from all claims and causes of action which I, at any time, acquire as a result of participation in this event. I understand that this event requires strenuous physical exertion. I hereby attest that I am physically fit and sufficiently trained for this event.
SIGNATURE: __________________________________________________ DATE: ______________________
PARENT OR GUARDIAN IF UNDER 18
HOW DID YOU HEAR ABOUT US? ______________________________________________________________