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Paradise on the Delaware Bay


Lower Township Chamber of Commerce
Presents
The David C. Douglass Memorial
5K Run
10 Mile Run
April 28, 2001 (Rain or Shine)
Cold Spring Village
(Click for 1999 report)

5K Registration at 9:30 AM
10 Mile Registration at 10:00 AM
at the Seashore Road entrance to
Historic Cold Spring Village
(Click for Map)

Fee: $12.00 (prior to April 18)
$15.00 Day of Run  
T-shirts to first 200 registrants

Age Group and Special Awards

A portion of the proceeds will be donated to the David C. Douglass Memorial Scholarship Fund



Preregistration Deadline: April 18. 2001
Complete, print, and mail the following form with your check made payable to
Lower Township Chamber of Commerce
P.O. Box 969
North Cape May, NJ  08204

Name (last, first middle) 
Address1 
Address2 
City 
State     Zip 
Phone 
Age Female Male

Waiver: (please read carefully)
   In consideration and acceptance of this entry, I waive any and all claims for myself or my heirs against official sponsors of the David C. Douglass Memorial Runs for injury or illness which may result directly from my participation. I further state that I am in proper physical condition to participate in this event. I also give my permission for the use of my name and/or picture in any broadcast, telecast, or any other public account of this event.

______________________________________
(Signature)

______________________________________
(Signature of parent if under 18)

Check if applicable:  Firefighter  Police Officer

    


 
 
 
 
 
 

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