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Thursday May 26, 2011

7:00 p.m.

Somerset County Courthouse

Somerville, NJ

Please select from the following categories:

5k Road Race		$20.00
5K USATF-NJ Member	Must submit current 2011 USATF-NJ #	$18.00
3K Poker Walk		$20.00
Kids' Dashes	Ages From 2-11	$5.00
5K - Student	Must be 18 or under to receive discount. Must provide name of school.	$15.00
$5 Additional Donation	Donations go directly to the Somerset County Bar Foundation.	$5.00
$10 Additional Donation	Donations go directly to the Somerset County Bar Foundation.	$10.00

Please provide the following information on the participant. Required fields are denoted by an asterisk *.

*First Name

*Last Name

*Gender

*Birth Date

YYYY

*Address

Address

*City

*State

*Zip

County

*Country

*Phone

*E-mail

A registration confirmation will be sent to this e-mail address


Waiver	In consideration of this entry being accepted I hereby for myself, heirs, executors, and administrators waive and release any claims I may have against Sports A.R., LLC, Somerset County Bar Foundation/Association and any and all Parties, Groups, Organizations, Volunteers, Sponsors, and (or) any Representatives involved in The Legal Runaround 5K for any and all injuries suffered by me in this event. I certify that I am physically able to compete in this event. I understand that my entry fee is non-refundable.
* I have read the above waiver and agree to terms

*Please choose your T-Shirt size:

YL M L XL XXL

USATF: You MUST provide 2011 USATF-NJ membership number to receive discounted entry fee.
For Student Discount Please list school name, town, and your grade.
HIGH SCHOOL AFFILIATION (High School Name for Students and their Parents, Siblings, Family, Friends, Faculty, Staff, etc.)

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