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The State's Attorney's Office and Anne Arundel County Bar Foundation
12th ANNUAL VICTIMS' FUND RUN
5K Run / 2 Mile Walk Sunday, September 13, 2009

THE COURSE: The Race/Walk starts at Park Plaza Shopping Center, Route 2, between McKinsey & Robinson Roads, Severna Park. Runs flat and fast along the B&A Trail, with separate courses for runners and walkers. Mile markers at 1, 2, and 3 miles. The Trail is open to the public. Please be alert and courteous. For safety, no pets, headphones, roller blades, bikes, or strollers on runner's course. Strollers are allowed on walker's course. Annapolis Striders are our finish line partners.

ENTRY FEE: (T-shirts for first 300 entries)
$15 if received by Wednesday, September 9th, $18 on Race Day, September 13 $5 additional fee for Badger Moisture Performance Runner's Shirt (must register by August 21)

Registration opens 7:15 a.m.
8:00 a.m. warm up * 8:15 a.m. start
For more information call Cheryl Tyiska at 410-222-1740 x 3827

Additional pre-race packet pickup locations will be announced before the Race to all who provide their email address on the Registration Form. For information on how to become a Fund Run Sponsor or donate great prizes for participants please contact satyis83@aacounty.org

Registration Form
One form per participant

Yes! I want to do the 5K Run or 2 Mile Walk to Help Crime Victims!

First Name: Last Name:
Team/Group Name: Age on Race Day:
Address:
City: State: Zip Code:

Phone Number: Email Address:

Gender: M F
T-Shirt Size: S M L XL

Payment Information
(No Refunds!) (The Anne Arundel County Bar Foundation is a charitable 501(c)(3) organization.)
$15.00 plus $5.00 Add'l for Badger Moisture Performance Shirt if received by Aug. 21

Total $

I won't by able to Walk or Run on September 13, but my donation to the Victims' Fund is enclosed!
Enclosed check #
Mail form w/check payable to:
AACBF to VICTIMS'S FUND RUN
P.O. Box 161
Annapolis, MD 21404

TO PAY ONLINE BY CREDIT CARD, CONTINUE TO LINK AT BOTTOM TO CONTINUE PROCESSING ONLINE TRANSACTION.

Fax completed registration form in advance to 410-222-1325

Yes, please email confirmation to email address above that my fax has been received.

Online Payment

WAIVER & RELEASE: I RECOGNIZE THAT PARTICIPATING IN THIS ACTIVITY MAY INVOLVE CERTAIN HAZARDS. I UNDERSTAND THAT I SHOULD NOT PARTICIPATE UNLESS MEDICALLY ABLE. I ASSUME THE RISKS ASSOCIATED WITH INVOLVEMENT IN THIS ACTIVITY, INCLUDING BUT NOT LIMITED TO FALLS, CONTACT WITH OTHER PARTICIPANTS, THE EFFECTS OF WEATHER, THE CONDITION OF THE TRACK AND/OR ROAD, FOOT OR VEHICLE TRAFFIC ON THE COURSE, ALL ARE RISKS BEING KNOWN AND APPRECIATED BY ME. HAVING READ THIS WAIVER AND RELEASE, KNOWING THESE FACTS, AND IN CONSIDERATION OF MY BEING ACCEPTED INTO THIS RACE, I, FOR MYSELF AND ANYONE ENTITLED TO ACT ON MY BEHALF, WAIVE, AND RELEASE THE STATE'S ATTORNEY'S OFFICE, THE BAR FOUNDATION, PARK STATION LIMITED PARTNERSHIP, LLP, ANNE ARUNDEL CO., ANNE ARUNDEL CO. PARKS AND RECREATION, ANNAPOLIS STRIDERS, ALL HOSTS AND SPONSORS AND THEIR REPRESENTATIVES AND SUCCESSORS FROM ALL CLAIMS OF ANY KIND ARISING FROM MY INVOLVEMENT IN THIS ACTIVITY.

SIGNATURE OF ENTRANT _____________________________ DATE_______

*MANDATORY SIGNATURE OF PARENT FOR ENTRANTS UNDER 18 _________________________