TO COMPLETE THE ENTRY FORM FOR ALL RACES:SELECT the proper info in
the fields marked "select", then print the form using the button below. After
reading the agreement at the top, you must sign the form then mail or carry it to: Threads & Treads, 17 East Putnam Avenue, Greenwich, CT 06830
(203) 661-0142
MAKE CHECKS PAYABLE TO THREADS & TREADS
In Consideration of
Acceptance of this entry, I the undersigned, intend to be legally bound, do hereby,
for myself, my heirs, executors and administrators, waive and release any
and all rights and claims
for damages I may have against any and all race sponsors, organizers,
directors, event staff, volunteers, cities and towns
in which the race is contested, their representatives, successors, and
assigns, for any and all injuries suffered by mein said event.
I attest and verify that I am physically fit and sufficiently trained for
the completion of this event and my physical condition has been
verified by a licensed Medical Doctor within the last six months. Further, I
hereby grant permission any and all of the foregoing to use any photographs,
videotapes, motion pictures, recording, or any other record of this event for any purpose
whatsoever without compensation or remuneration.
2008 EVENTS
ENTERING:
LAST
NAME: SEX:
FIRST NAME:
AGE ON RACE DAY:
BIRTH DATE: Month: Day: Year:
MAILING ADDRESS:
CITY:
STATE: ZIP:
TELEPHONE:
T-SHIRT SIZE:
FOR TOUR de GREENWICH ENTRIES,
ENTER ESTIMATED 20 MILE RIDE TIME: