Click here to sign up for 5K on line

Click Here for Facebook 5K Run/Walk Page Click Here for 5K Run/Walk Route Dracut Old Home Day Road Race 5K Run/Walk Dracut High School Complex, 1580 Lakeview Avenue, Dracut Ma 01826 Saturday, September 7, 2013, 10:00 A.M.  To register by mail, fill out this application or register online at www.active.com  Make checks payable to Dracut Old Home Day Road Race Mail to : Dracut Old Home Day Race Committee, PO BOX 217, Dracut, Ma 01826 Entry Fee is $20 if postmarked no later than September 1, 2013. Day of Race $25.    First Name________________________________________________________________________________________________________________________ Last Name ________________________________________________________________________________________________________________________ Male______________________Female_____________Date of Birth (MM/DD/YY)________________Age Day of Race__________________________ Street Address or P.O. Box ____________________________________________________________________________________________________________ City/Town__________________________________________________________________________________________________________________________ State_____________________________Zip Code______________________________T-Shirt Size (M-L-XL-XXL)______________________________________ E-Mail Address (please print neatly)____________________________________________________________________________________________________

Waiver Must be Read & Signed Before Mailing  I know that running is a potentially hazardous activity. I should not enter or run in this event unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptane of my application, I, for myself and anyone entitled to act on my behalf, waive and release Dracut Old Home Day and the Town of Dracut, Ma, State of Mass. and all sponsors, their representatives, and successors from all claims or liabilities of any kind arising out of my participation in this event even though the liability may arise out of negligence or carelessness on the part of the person named in this waiver. I also allow my name to be posted in various medias. All fees are nonrefundable.   ___________________________________________________________                   _______________________________________________________________________ Signature (parent or guardian must sign if under 18 years old)                                         Date   WHEN PRINTING APPLICATION, PRINT IN LANDSCAPE MODE

Logistics for Dracut Old Home Day Road Race 5K Run/Walk Saturday September 7, 2013, 8:00 AM Dracut High School Complex, 1580 Lakeview Avenue, Dracut Ma 01826     Cash Awards Overall (Male & Female) - 1st Place $100, 2nd Place $50, 3rd Place $25 Medal Finishers (Top 3 Each Age Group) - 19 & under, 20-29, 30-39, 40-49, 50-59, 60-69, 70+ Designated Participant Parking - Dracut High School Monument Lot (corner of Lakeview Ave and Fredrick St), behind High School (some road closed so arrive early) Additional Information & Contacts - www.dracutoldhomeday.com, www.active.com, www.facebook.com/dracutoldhomedayroadrace, or e-mail: cattaylor@cocoearly.com. Road Race Fee - Preregistration $20, Day of Race $25 Mail-In Registration Deadline - Postmarked no later than Saturday, September 1st Race Number Pickup & Walk In Registration - Thurs, Sep 5 and Fri, Sep 6, 1:00 PM to 7:30 PM at Coco, Early and Associates, 1168 Lakeview Avenue, Dracut Ma Race Day Registration - 8:00 AM to 9:30 AM at Dracut Car Wash, 20 Turgeon Ave, Dracut, Ma (Across Lakeview Ave from Old Home Day Site) Race Timing - Professional Bib Chip Timing by Yankee Timing Followed by Dracut Old Home Festivities!