5K Labor Day Run - Village of Dobbs Ferry


5K Labor Day Run - Village of Dobbs Ferry
The Dobbs Ferry Recreation Department,
Mercy College and Doubleday’s Presents:
Dobbs Ferry
“Labor on Labor Day”
5K Run
First 100 runners to register receive a free t-shirt!
Dobbs Ferry Parks & Recreation Department
60 Palisade St., Dobbs Ferry, NY 10522
Please make checks payable to the Village of Dobbs Ferry.
Name ____________________________________ Age as of day of race _________ DOB ___________ Sex _______
Address ________________________________ Home Phone __________________Email_______________________
Emergency Contact ____________________________________________ Phone _____________________________
Program: Dobbs Ferry 5K Run Fee: $15.00 registration, $20.00 day of race
As a participant in the above program, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risks of any injuries, damages or
loss which I or my child may sustain as a result of such participation. I further understand that the Village of Dobbs Ferry and Mercy College does not provide accidental
medical coverage and it is my responsibility to provide appropriate coverage. I agree to waive and relinquish all claims and hold harmless the Village of Dobbs Ferry, the Parks
and Recreation Department, Mercy College its officers, agents and employees from any and all claims.
Signature _________________________________________________________
Date _________________
For more information call the Recreation Department at 693-0024