Uncle Charlie's 5k for the Bay
Event Information
Sunday, June 16th 9:00 am
Each individual will be responsible for getting to the run start before 8:40 am. We start at 9:00 am sharp.
Run Length 5k (3.1 miles)
Starting point: Beach house Wine and Spirits
Finish Line: Big Beach in front of the board walk.

Safety Information - We will be running on the westbound shoulder of White Crystal Beach Road so that we are facing traffic driving towards us. There will be active traffic on White Crystal Beach Rd. Stay on the shoulder at all times during the run and stay safe.

Questions? call Race organizer CF Grugan at (484) 354-8571 or email at charles.grugan@gmail.com

This form must be filled out entirely before you join us for the run.

All runners must pay a registration fee of $10.00 to receive their race bibs.
All fees should be given as donations through our online portal at the link below.

https://www.crowdrise.com/o/en/campaign/2019-uncle-charlies-5k-for-the-bay ($10.00 Required to complete entry)

Cash will be accepted as well
All proceeds from entry fee will benefit the Chesapeake Bay Foundation.
Additional donations are welcomed!
Any additional donations will be sent directly to the Chesapeake Bay Foundation.

Race bibs will be picked up at cottage #66 (CF Grugan's) between 10 am - 3pm on Saturday June 15th

Athlete Information
Name *
Your answer
Email *
Your answer
Cottage Number
Your answer
Additional Donation to The Chesapeake Bay Founation
Any additional donation will be sent directly to CBF to help fund programs to help keep the bay healthy and safe.
Additional Donation amount if desired
Your answer
Are you over 18? (Or a guardian of a minor?) *
Minor Athlete Guardian Permission
If filling out on behalf of a minor participant, Please list your name and the name of the runner below.
Runner's name (if applicable)
Your answer
Guardians name (if applicable)
Your answer
Signing up for this fun run / walk indicates that you acknowledge the risks and dangers associated with participation in the Event and sport of track & field and related activities, including without limitation, the potential for serious bodily injury, sickness and disease, permanent disability, paralysis and loss of life; loss of or damage to equipment/property; exposure to extreme conditions and circumstances; contact with other participants, spectators, animals or other natural or manmade objects; dangers arising from adverse weather conditions; imperfect course or track conditions; land, water and surface hazards; equipment failure; inadequate safety measures; participants of varying skill levels; situations beyond the immediate control of the Event Organizers; and other undefined, not readily foreseeable and presently unknown risks and dangers (“Risks”). I understand that these Risks may be caused in whole or in part by my own actions or inactions, the actions or inactions of others participating in the Event, or the negligent acts or omissions of all Released Parties, and I hereby expressly assume all such Risks and
responsibility for any damages, liabilities, losses or expenses which I incur as a result of my participation in any Event.

This Run is not an officially timed event. This is a group of individuals getting together to get out and get exercise.

I agree to pay the minimum fee of $10.00 to gain entry to the event. All proceeds benefit the Chesapeake Bay Foundation.

I hereby warrant that I am of legal age(18) or I am a guardian of a race entrant who is under the age of 18 and competent to enter into this Agreement, that I have read this Agreement carefully and that I understand its terms and conditions
I accept the Agreement/Waiver above *
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