Saturday, November
24, 2007
9:00 am
Rain or Shine!
Haddon Township Municipal Building
135 Haddon Ave., Haddon Twp, NJ
This Year's Race Benefits:
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Contact Commissioner Foley at 856-854-1176 ext 4156
jfoley@haddontwp.com
The race starts in front of the Haddon Township Municipal Building. Run on Haddon Avenue to Cuthbert Road and turn left. Run on Cuthbert Road and turn left onto West Park Blvd. Run on West Park Blvd. and turn left onto Elm Avenue in Haddonfield Run on Elm Avenue and turn left onto Westmont Avenue Run on Westmont Avenue and turn right onto Crystal Lake Avenue. Run on Crystal Lake Avenue and turn left onto Virginia Avenue. Run on Virginia Avenue and turn left onto Reeve Avenue. The race ends on Reeve Avenue near Haddon Avenue
Brewers Towne Tavern
Dockhoppers
1st Colonial Bank
PBA LOCAL #257
Westmont Fire Co. #1
Hubler & Associates
Haddon Township Police Dept.
Haddonfield Running Company
Ace Hardware
Key Engineers
DQEvents
Wawa
Acme
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First Name ___________________________ Last Name _______________________
Age ______ Sex ______
Address ________________________________
City ______________________________ State _______ Zip Code __________
Phone _____________________ Email ________________________________
Please check one of the following:
___ 5K ___ 1 Mile
___ Physically Challenged ___ Haddon Township Resident ___ Law Enforcement___ Military ___ Firepersons ___ Medical EMT - field
T-Shirt size: S ___ M ___ L ____ XL ____
IN CONSIDERATION FOR ACCEPTING THIS ENTRY, AND THE GRANTING OF THE RIGHT TO PARTICIPATE IN THIS EVENT, I, THE UNDERSIGNED, INTENDING TO BE LEGALLY BOUND, HEREBY FOR MYSELF, MY HEIRS, PERSONAL REPRESENTATIVES, SUCCESSORS, AND ASSIGNS, WAIVE AND RELEASE ANY AND ALL CLAIMS FOR LOSSES AND DAMAGES I MAY HAVE AGAINST, BREWERS TOWNE TAVERN, DOCKHOPPERS, COMMISSIONERS OF HADDON TWP., HADDON TWP., WESTMONT, THE POLICE DEPT. OF HADDON TWP., EVENT COMMITTEE, VOLUNTEERS, DQ EVENTS, THEIR REPRESENTATIVES, SUCCESSORS, AND ASSIGNS AND/OR ANY OTHER PERSON WHOMSOEVER FOR ANY AND ALL INJURIES, ILLNESS, INCLUDING DEATH, THAT MAY RESULT FROM MY PARTICIPATION IN SAID EVENT. I REPRESENT AND AFFIRM THAT I AM IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN THIS EVENT, AND VERIFIED BY A LICENSED PHYSICIAN, AND HAVE SUFFICIENTLY TRAINED FOR THE COMPLETION OF THIS EVENT.
THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNED THIS RELEASE
& WAIVER
X____________________________________ Date ________________
Make checks payable to: Friends of Haddon Township
Mail Checks to:
Friends
of Haddon Township
115
Black Horse Pike
Haddon
Height, NJ 08035