Race Application - New Haven Road Race

Until February 9
2/10 – 6/28
6/29 – 8/14
8/15 – 9/3
Raceday
Half Marathon
$55
$60
$65
$70
$75
Check event:  Half Marathon
Half RELAY
$75
$80
$85
$90
$100
20K
20K
$55
$60
$65
$70
$75
 5K
 Half Marathon Relay LEG 1
5K
$30
$32
$34
$35
$40
 Kids Fun Run
 Half Marathon Relay LEG 2 (each person must fill out form)
Check if applicable:  Clydesdale/Athena  Police/Fire  Military
Shirt size:
 XS
Checks payable to:
S
Kids Fun Run
$7
$8
$9
$10
$12
M
L
 Wheelchair Judge/Lawyer
XL
 XXL
New Haven Road Race Inc.
2 Buena Vista Road
Branford, CT 06405
Relay Partner Name (if applicable)
Last Name
First Name
Address
City
_____
Age
State
_____
Male
_____
Female
/
Zip
/
Date of Birth
Email Address
WAIVER: I know that running a road race is a potentially hazardous activity. I will not enter and run unless I am medically able
and properly trained. I agree to abide by any decision on any race official as to my ability to safely complete the run. I assume all
risks with running this event, including but not limited to falls, contact with other participants, effects of weather, including high
heat and humidity, traffic and the condition of the road, all such risks being known and appreciated by me. Having read this
waiver and knowing these facts and in consideration of your accepting my entry, I, Myself and anyone entitled to act in my
behalf waive and release the City of New Haven, Faxon Law Group, JB Sports LLC, race officials, volunteers, and all sponsors
from all claims or liabilities of any kind arising out of my participation in this event, I grant permission to all of the foregoing to use
any photographs, Motion pictures, recordings or any other record of this event for any legitimate purposes. I know that dogs,
bicycles, in-line skates, MP3 players, and baby joggers are not allowed on the course.
Signature (parent must sign if participant is under 18 years of age)
Date