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Many Milers Program
Half Marathon Unplugged

Vermont Remembers 10K Run/Walk

Item Code: VT-REMEMBERS
$22.50

SATURDAY, SEPTEMBER 12, 2009

PRE-REGISTRATION is CLOSED.

Race-day registration from 7:00 a.m. - 8:00 a.m. on Saturday

Presented by: National Guard Association of VT and sponsored by Century 21 Jack Associates.

This event benefits the Vermont National Guard Fallen Soldier Memorial at Camp Johnson. All entrance fees go directly to support the Fallen Soldier Memorial.

Ruck March Individual
1 person only, carrying 35lb ruck sack

Ruck March Team**
2 - 6 people, all carrying 35 lb sacks

Platoon Team**
Minimum of 7 or more (no max), carrying 35 lb sacks

** Each team or Platoon will be required to finish together within 5 Seconds.

Please Note:
Each participant must register individually; no group registrations.

VALID PHOTO IDENTIFICATION REQUIRED PRIOR TO STARTING RACE

"INDIVIDUAL ENTRY FORM WAIVER AND RELEASE OF LIABILITY: WAIVER: Participant waiver and release of liability. I know that running/walking a road race is a potentially hazardous activity. I should not enter and run/walk unless I am medically able and properly trained. By signing below I am affirmatively representing that I am well trained in the sport of recreational running, am in good physical condition, capable of entering and running this race, and that I am not aware of any medical or health condition, or of any physical defect that would cause me to be unable to run said race, or that would otherwise result in injury to myself or others or aggravate any medical, health or physical condition. I assume all risks associated with running/walking this event including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and/or humidity, or extreme cold; all such risks being known or of which I am aware and which are understood by me. I hereby further understand that and knowingly undertake the risks inherent in the conditions of the road and traffic on or near the course. Having read this waiver and knowing these facts, and in consideration of your accepting my entry to participate in the NGA-VT VT Remembers 10k events, I, for myself and anyone entitled to act on my behalf, waive and release the Vermont Army National Guard, NGA-VT, Century 21, RunVermont and all other sponsors, their representatives and successors or assigns from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of the negligence or carelessness on the part of the persons named in this waiver. I hereby give my permission to the event organizers and sponsors to use my name and/or picture in any publication, broadcast, telecast or other account of this event without limitation or obligation of further compensation thereof. By signing this waiver and release I am signifying that I fully understand its significance."



Vermont Remembers 10K Run/Walk
$22.50

First Name:
Last Name:
Address:
City:
State:
Zip:
Email:
Telephone:
Gender:

Date of Birth mm/dd/yy:
Race Day Age:
Civilian/Military:

Division:

Ruck Teams Only: Point of Contact Last Name:
Ruck Teams Only: Point of Contact First Name:
Please Choose:

T-Shirt Size:

Waiver:

Click to enlarge

Women's Running Jacket

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