Greylock Tower

Western Mass Athletic Club

Mt. Greylock Trail Races Entry Form

Half Marathon and 5K
Sunday June 15, 2014 10 a.m. start (both races)
Greylock Glen, Gould Road, Adams, MA

Greylock Tower

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Pre-register before 6/8/14: $15.00 half-marathon, $12.00 5K. Family discount: no charge in excess of that for 3 people if pre-registered. Shirts may sold separately, inquire at the race.
Send entry form with check for fee made out to
WMAC, P.O. Box 356, Adams, MA 01220

(Day of race: $20.00 half-marathon, $15.00 5K)

Please circle which Mt. Greylock Trail Race you are entering: 5 km or Half-Marathon

Name (Please print)_______________________________

Street __________________________________________

City/Town ____________________________State _____

Zip __________ Phone ___________________________

Age ______ Sex M/F


Entry fee $_____
WMAC member Yes  No

RRCS logo

Please enter me in the indicated Mt. Greylock Trail Race. I agree to assume all responsibility for any and all risk of damage or injury that may occur to me as a participant of this event. In consideration of being accepted as an entrant in this event, I hereby, for myself, my heirs, executors and administrators, release and discharge any and all sponsors of the Mt. Greylock Trail Race from all claims, damages, rights of action, present or future whether the arising of, or incident to my participation in this event. I hereby certify that I am physically fit and have successfully trained for competition in this event. I also grant permission for the use of my name and/or picture in any broadcast, photograph or other account of this event.

Signature ________________________ Parent/Guardian (if under 18) ________________________