AFCEA 5K & 1 MILE FUN RUN
Saturday, April  12, 2008 - 9:00 AM
SAIC, 7120 Columbia Gateway Drive, Columbia, MD. 21045

Make checks payable to: AFCEA Central Maryland Chapter
Mail to: AFCEA Central Maryland Chapter, PO Box 5464 Towson, MD. 21285 
Type In the Information, Print, and Sign Entry Form - Do Not Mail After April 7

5k Race  1 Mile Fun Run
Entry Fees 5K: $25  if postmarked by Feb 28th   $30 if postmarked by April 7  ($35 on race day)
1 Mile Fun Run: $15 ($20 on race day)
 Last Name:     
Address:  
City:       State:      Zip:   -
Age on race day:           Sex: M  F         T-shirt: S M L XL                                                                          
Date of Birth:   / /     
Home Phone:   - -     Work Phone: - -
Email:
Are you on a 5K Team? No  Yes   If Yes: Team Name:

ALL TEAM ENTRIES NEED TO BE MAILED IN TOGETHER

Waiver/Release Must be Signed Before Mailing:

In consideration of the acceptance of my entry for myself, my executors, administrators and assignees, I do hereby release and discharge the AFCEA  and the race director and all other sponsors of all claims and damages, demands, actions whatsoever, in any manner rising out of my participation in said athletics event. I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate in this event. I understand that there are to be no pets, strollers or baby joggers.

_________________________________________________________     __________
Signature (parent or guardian if under 18)                                                              Date