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Panther Prowl Road Race Application
By: Website Admin

4th Annual Panther Prowl St. Pat’s Day 5K Road Race & Fun Walk

When: Saturday March 13, 2010 @ 9:30 a.m.

Where: Registration is located at the Whitman-Hanson Regional High School 610 Franklin Street, Whitman, MA (Rt.27). Race/walk starts and finishes on the school grounds.

Course: A flat, gradual-hill 5k course over paved Whitman streets . Mile Markers/splits every mile .

Entry Fee: $20 per race/walker. Long-sleeve T-Shirt for the first 200 entrants. Race-day registration: 8:00-9:00am.

Beneficiary: This fundraiser for the W-H Athletic Department will help promote physical activity and an active life style for athletes and the community.

Awards: Trophies for first Male/Female Overall and top two in each Age Division

♣ Divisions: Under 14, 15-21, 22-39, 40-59, 60 and over ♣

Information:Director: Jim Daley, Athletic Director, W-H Reg. H.S. (781-618-7433)

E-mail: James.daley@whrsd.org ♣ Please check the www.whtrack.org for race updates and announcements.

Directions:From the North- Take Route 18 to lights at 18/27; bear left on 27 into Whitman; follow 27 for approximately 2.5 miles; school entrance on left.From the South– Take Route 3 to Route 27N (Exit 9); follow 27, crossing Rt.14/27 intersection; school 1.5 miles on right.

Please Note:Entry fees are nonrefundable. Postponement Date is Sunday March 14, 2010.

Panther Prowl St. Pat’s Day Race Entry Form

Fee: $20 ♣ Make checks payable to: Whitman-Hanson Athletic Department

Send to: Jim Daley, Athletic Director, Whitman-Hanson Regional High School,

600 Franklin St., Whitman, MA 02382

Name: (Print)________________________________________________ M/F:_____

Age on 3/13/10:______ T-Shirt Size:_______ (S,M,L,XL,2XL)

Street:________________________________________________________________________

City/Town:_________________________________ State:_______ Zip:_______________

Phone (H):________________________ Email:_____________________________________

RELEASE AND WAIVER: I assume all risks associated with running in this event. In consideration of your accepting this entry, I hereby for myself and my heirs, executors, or administrators waive and release all rights and claims for damages I may have against W-H Athletic Dept., the town of Whitman, the W-H Regional School District, any sponsors, all race officials and volunteers, and any other individuals or organizations associated with this event, for any death, personal injury, or property damage arising from or in the course of my participation in this event.

Signature:___________________________________ (Parent/Guardian if Under 18)