2017 Mill Cities Relay Team Entry Form
Enter Team List On-Line
$100 per full team, $60 per sunshine start team


Instructions:

  1. Fill in ALL form fields. If you fail to complete the form it will be rejected and you will have to start over.

  2. Enter the correct registration password. You can get this from your club's Mill Cities Relay representative.

  3. Press Submit Team List when all information is correct.

  4. When you successfully submit a new team list, you will automatically be redirected to a confirmation page containing your team information.

  5. Individual clubs are responsible for managing the entry fees for all of the club's teams. Contact your club's Mill Cities Relay representative for details on how this is being handled within your club. Each club should submit a single check in payment for all of the club's teams. All club checks must be received at or before the Mill Cities club packet pickup (location/date/time to be announced). THERE IS NO RACE DAY REGISTRATION.

  6. An email containing the confirmation information will also be sent to the contact email address.

YOU MUST ENTER YOUR TEAM ROSTER(S) USING THIS ON-LINE FORM PRIOR TO 5:00PM ON FRIDAY NOVEMBER 24. On-line team roster modification will be available for registered teams until 5:00 PM on Friday, Dec. 1.


Club   

 
Team Name     
Division                * Sunshine start team division.
Team Captain     
Contact Email        
  You must fill in first and last name for each team member.
* Sunshine start team divisions require only 3 team members.
Leg 1 Runner     
Leg 2 Runner     
Leg 3 Runner     
Leg 4 Runner     
Leg 5 Runner     

REGISTRATION PASSWORD
Contact your club's Mill Cities Relay representative to obtain the password.


Waiver
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in the event including, but not limited to: falls, contact with other participants, the effects of weather, including high heat and or humidity, traffic, and the conditions 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, for myself and anyone entitled to act on my behalf, waive and release all sponsors, the hosting running clubs, the Town of Nashua, Hudson, Tyngsboro, Lowell, Dracut, Methuen, and Lawrence their representatives, successors from all claims or liabilities of any kind arising out of my participation in this event even though the liability may arise out of negligence or carelessness on the part of the person named in the waiver. 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 purpose.


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Report problems with this form to:  tom.miller@unh.edu