Name ____________________________________ DOB_____/____/_____ Age __________ Sex: M ___ F ___

Address ____________________________________ City ____________________ State ________ Zip __________

E-mail__________________________________________________________

In consideration of this entry being accepted, I hereby for myself, my heirs, executors, and administrators waive any and all rights and

claims for damages I may have against the organizers and sponsors of this race.

Signature_______________________________________________________ Date ____________________________ (Parent or guardian if under 18)

Check if you are:______Police/Law Enforcement_______Firefighter_______Wheelchair Division

Please Circle Shirt Size: S M L XL

Mail checks payable to: The Turkey Classic, 18 Davis Farm Road, Ashland, MA 01721.

For more info email timcampion7@gmail.com