Hoofbeats 5K

Saturday, May 30, 2020

Location: NHTI, Concord's Community College • 31 College Dr., Concord, NH 03301

Course: Northeast Delta Dental/NHTI 5K certified course

Cost: $20.00 Per Person by April 1st, $25.00 after, $27 race day;

$15.00 Kids 14 & Under, Free Kids Fun Run (6 & under)

Mail registration form & check to:

New Hampshire Rare Disorders Association c/o Pang, 60 Thayer Pond Rd., Concord, NH 03301
Make checks payable to: New Hampshire Rare Disorders Association

Day of Race Registration: 7:30AM • Race/Walk: 9:00AM • Free Kids Fun Run: 9:45AM

Awards: 10:00AM  • Wicked Awesome Raffle: 10:15-ish

Name: _____________________________________________Phone:________________________

Email:_____________________________________Address: _________________________________

Age: (As of 5/30/20)__________    Male: ____ Female: ____

I work at a physical therapy office: Yes____ No____    I will be using a wheelchair: Yes____ No____ 

      I will be using a mobility device (walker/cane): Yes____ No____  

I will be using a hand bike: Yes___No___

T-Shirt Size (shirts guaranteed if registered by April 30th):

XS        S        M         L         XL         XXL         XXXL

Liability Waiver: I know that participating in the Hoofbeats 5K is potentially a hazardous activity. I also know there may be through traffic, and other hazards on the course. I assume any and all other risks associated with participation in an event of this nature including, but not limited to falls, contact with other participants, effects of weather, all such risks being known and appreciated by me. Knowing these facts, and in consideration of your accepting my entry fee, I hereby for myself, heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue and waive release and discharge of NHTI, all sponsors, volunteers, and race officials from any claim or liability for death, personal injury, or damage of any kind or nature arising out of or in the course of participation in this event. This release and waiver extend to all claims of every nature, whatsoever, foreseen, known or unknown.

Signature: __________________________________Signature of parent if under 18: ____________________

Date: _____________________

Questions? Contact Lynnette Stebbins at 603.401.1450