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| Team Name: |
| Team Division: (See list of divisions) |
| Team Captain Name: | Age on race day:   | Gender: M/F   | Weight: |
| Team Captain Address: |
| Team Captain Town/State & Zip Code |
| Team Captain Telephone Number: E-Mail Address: |
| Other Team Member Name #1: | Age on race day:   | Gender: M/F   | Weight: |
| Other Team Member Name #2: | Age on race day:   | Gender: M/F   | Weight: |
| Other Team Member Name #3: | Age on race day:   | Gender: M/F   | Weight: |
| Saturday Buffet Pasta Dinner (please circle): YES NO Number tickets: The fee for this is: $16.00 per head |
| How Much Money Have You Enclosed: |
| WAIVER: In consideration of my acceptance of this entry I intend to be legally bound, hereby for myself, my heirs, executors and administrators waive and release any and all claims for personal damage I may have against the city or town that the event is being held in, organizers, B.A. Event Promotions , sponsors of the race, and I attest and verify that I am physically fit and sufficiently trained for this event. I also understand that there are no refunds regardless of the circumstances including a cancellation due to poor weather directed by town officials. |
_________________________________________________________________________________________ |
| Signature (of all relay members required) /Signature of parent if under 18 |
Please address all checks and
money orders to
B.A. Event Promotions and mail to
B.A. Event Promotions P.O. Box
2184, Hyannis,
Massachusetts 02601