Potomac River Run Marathon

By entering this event, I agree, warrant and covenant as follows: I know that running is a potentially hazardous activity. I should not enter or run in competitive runs unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release Marathon Charity Cooperation, RRCA, USATF, National Park Service, and all sponsors of this event, their directors, officers, employees, agents, representatives, and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I acknowledge that the application fee shall be non-refundable. I agree that the organizers of this event may use my name and likeness for publicity purposes.

Name ________________________________________________________ Gender [___] (M | F) Age on 5/2/2010 [__ __] Address _____________________________________________________ Birthday ____ ____-____ ____-____ ____ ____ ____ (mm-dd-yyyy) City ST ZIP _______________________________________________________________________________________________________________ E-mail ____________________________________________________________________________________________________________________ Phone ____ ____ ____-____ ____ ____-____ ____ ____ ____ T-shirt [___] (S | M | L | XL | XXL) Best Marathon __:__ __:__ __ Where/When?___________________________________________________________________________________ Enclosed is my entry fee, payable to MCC MEMBERS OF MCC NON-MEMBERS [__] $30 by January 31, 2010 [__] $40 by January 31, 2010 [__] $40 by February 28, 2010 [__] $50 by February 28, 2010 [__] $50 by March 31, 2010 [__] $60 by March 31, 2010 [__] $60 by April 30, 2010 [__] $70 by April 30, 2010 [__] $70 on May 1, 2010, at packet pickup [__] $80 on May 1, 2010, at packet pickup No race-day registration, please. [__] Enclosed is an additional tax-deductible donation $___ to MCC $___ to MCC partner charity _________________________ [__] Enclosed is an additional tax-deductible donation $___ to American Red Cross International Response Fund in Haiti

OPTIONAL: MCC Membership Application – Join MCC and save $10 on each of our programs and races MCC’s Mission: Marathon Charity Cooperation (MCC) is a non-profit corporation organized as a charitable and educational foundation for the benefit of the public both locally and globally. The MCC mission includes funding a cooperative of non-profit member-charities who both benefit from and contribute to the events hosted. Our events provide opportunities for personal and professional growth in addition to education of the public serving people of all ages. [_] I apply for 2010 membership in Marathon Charity Cooperation. Enclosed is my check to MCC for $10

Please make checks payable to MCC, 2776 South Arlington Mill Drive #246, Arlington VA 22206