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Derby Street Mile - 2017 Online Registration

Event Date: Friday, August 25, 2017,
Event Time: 7 PM

Online registration ends: 8/23/2017 at Midnight, EST

Join the Salem Park and Recreation in its 13th Annual Derby Street Mile Road Race. This fun, family, community driven event will take place on Aug 25th starting at 7pm. Make sure to save the date, invite your friends and families to come join in on a fun Friday summer night in downtown Salem.

 

Date: Friday, August 25th 

Schedule of Events: Competitive Run - 7pm 
                              Family/Fun Run - 7:15pm

****  Runners MUST designate the race they wish to compete in  ****

Fees: General Entry Fee $15 - Family Entry Fee  $40 family cap

Day of Registration: Will take place at the Finish Line from 6 - 6:45 PM at Derby Wharf

Start Location: Salem Willows Parking Lot on Fort Avenue

Swag: T-Shirts available to the first 100 registered runners

Awards: Trophy to top M/F finishers in the competitive run; Age group awards for the top 3 Male/Female in the following divisions 19 and Under, 20-29, 30-39, 40-49, 50-59, 60 and over in the competitive run.

All kids participating in the family/fun run will receive a finisher medal.

Packet Pick Up - Thursday, August 24th from 4 to 7 pm at the Salem Park and Recreation, 5 Broad Street, Salem MA.

 
Benficiary: 100% proceeds will be allocated to the Salem Park and Recreation
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Race Entering

First name
Last name
Street address
City
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Age  
Gender
Email
Email confirm
T-shirt
Cell Number for Texting Results
Sign Off (I agree to waiver below)


General Waiver:
I hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the City of Salem Park, Recreation and Community Services and North Shore Timing Company as well as NorthShoreTimingOnline.com--
I hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against NorthShoreTimingOnline.com, its affiliates, and subsidiaries, and their respective directors, and employees, and sponsors, coordinating groups and any individuals associated with Derby Street Mile on 8/25/2017, their representatives, successors and assigns, and will hold them harmless for any and all injuries suffered in connection with this event. I attest that I am physically fit to compete in this event. Athlete is fully aware of the risks and hazards inherent in participating in the Event and hereby elects to voluntarily participate, knowing the risks associated with the Event. Athlete hereby assumes all risks of loss(es), damage(s), or injury(ies) that may be sustained by him/her while participating in the Event. Further, I hereby grant full permission to any and all of the foregoing to use my likeness in all media including, but not limited to photographs, broadcasts, newspapers, brochures, or any other record of this event for any legitimate purpose without compensation. Athlete acknowledges that the entry fee paid is non-refundable and non-transferable. Athlete acknowledges and agrees that Derby Street Mile, in its sole discretion, may delay or cancel the Event if it believes the conditions on the race day are unsafe. In the event the Event is delayed or cancelled for any reason, including but not limited to: fire, threatened or actual strike, labor difficulty, work stoppage, insurrection, war, public disaster, flood, unavoidable casualty, acts of God or the elements (including without limitation, rain, hail, hurricane, tornado, earthquake), or any other cause beyond the control of Derby Street Mile there shall be no refund of the entry fee or any other costs of Athlete in connection with the Event. ATHLETE HAS READ THE FOREGOING AND INTENTIONALLY AND VOLUNTARILY SIGNS THIS RELEASE AND WAIVER OF LIABILITY AGREEMENT. IF ATHLETE IS UNDER AGE 18 HIS/HER PARENT OR GUARDIAN MUST SIGN THIS RELEASE AND WAIVER AGREEMENT. Athlete's Parent or Guardian's signature above certifies that my son/daughter/ward has my permission to participate in the Event. Athlete's Parent/Guardian has read and understands the foregoing RELEASE AND WAIVER OF LIABILITY AGREEMENT (above) and by signing intentionally and voluntarily agrees to its terms and conditions. Athlete's Parent/Guardian further certifies that my son/daughter/ward is in good physical condition and is able to safely participate in the Event. I hereby authorize medical treatment for him/her and grant access to my child's medical records as necessary and as stated above.