15th Annual Towson Family YMCA Turkey Trot 5k Run and 2k Family Fun Walk
Thursday, November 26, 2009 - 9:00 AM
Towson Family YMCA, 600 W. Chesapeake Avenue, Towson, MD

Make checks payable to: Towson Family YMCA   
Mail to: Towson Family YMCA, 600 W. Chesapeake Ave, Towson, MD 21204
Do not mail after November 19     Type In the Information, Print, and Sign Entry Form

5k Race  2k Fun Walk  Child Watch ($5 per child, $8 per family)
Entry Fees: $30  -- $35 on raceday   Save by registering online for $25 (plus service fee) at Active.com
Upgrade to purchase an UnderArmour long sleeve shirt: $23  Size: S  M  L  XL
 Last Name:     
Address:  
City:       State:      Zip:   -
Age on race day:           Sex: M  F                                                                                              
Date of Birth:   / /     
Home Phone:   - -     Work Phone: - -
Email:
Credit Card:  MC   Visa  Discover American Express
Credit Card No. ---  Exp. Date /
YMCA Membership? Yes     No
Emergency Contact:    Phone: - -

Waiver/Release Must be Signed Before Mailing:

In consideration of your accepting this entry, I, the undersigned for and on behalf of myself, my heirs, executors, administrators and assignees, do hereby release and discharge the YMCA of Central Maryland, Baltimore County, Charm City Run, Race Director, and all other sponsors and volunteers of all claims, damages, demands and any actions whatsoever in any manner arising out of my participation in said athletic event. I attest and verify that I have full knowledge of the risks involved in this event and acknowledge that I am physically fit and sufficiently trained to participate in this event.

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