Registration
Boston Mini-Marathon Race, P. O. Box 545, Boston, GA 31626
Contact: Race Director: Brad Johnson (bradjohnson@bankcb.com; daytime ph# 229-498-8500 evening ph# 229-226-4679)
Important Note To Participants: Please take advantage of the designated parking at Presbyterian Church on West Jefferson Street. For those traveling east on HWY 84 take the first right after Boston Cotton Gin onto GA 364 for parking at Presbyterian Church.
(Circle one) HALF-MARATHON RELAY 5K WALK FUN RUN
Name:__________________________________________________________________
Phone: _____________________________E-mail ______________________________
Address:________________________________________________________________
City/State/Zip;___________________________________________________________
SEX: M F SHIRT SIZE: S M L XL Child Sizes: S M L
In consideration of the acceptance of this entry, I hereby waive any and all claims for myself and my heirs against officials or sponsors of the BOSTON MINI-MARATHON RACE for injury or illness which may directly or indirectly result from my participation. I hereby certify that I am in proper physical condition and have trained properly for this race.
Signed Date: ______________________________________
(parent or guardian if under 18)
