For more information, go to the race web site.

Make check payable to: The Marrow Foundation

Mail to:
3M 5K
13710 Ashby Road
Rockville, MD 20853-2903

Fax credit card entries to (301) 871-0006. Do not fax after October 23.

Please fill out this form completely and legibly (print ) and sign the waiver before mailing or faxing.

____ I am a ChampionChip owner, and I am deducting $2 from my 
     entry fee. My ChampionChip number is:________________      
     (include full seven-character ID, i.e. CB73466)

Name: __________________________________________________________


Address: _______________________________________________________


City: ___________________________ State: _______ Zip: __________


Sex:  M  F                              Age on Race Day: _____  


E-Mail Address: ________________________________________________


Check if you are a wheelchair athlete: _____


Daytime Phone: (____)_____________   T-Shirt Size: S   M   L   XL


______I am participating on a team.


Team name:_______________________________________________


Team category: 
	___Co-ed
	___Male
	___Female	     
	

Entry Fee:
$15 through October 13	
$18 through October 25
$20 on-site race day


Your entry fee includes a race t-shirt, ChampionChip rental, and
post-race refreshments 


Credit card: ____________________________________ Exp.__________ 
(Master Card or Visa)


Waiver:
I know that running a road race is a potentially hazardous 
activity and that I should not enter and run 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 event including, but not limited to, falls, contact with 
other participants, the effects of the weather, including high 
heat and/or humidity, traffic and the conditions of the road, 
all such risks being known and appreciated by me. Having read 
this waiver and knowing these facts and in consideration of your 
accepting my entry, I, for myself and anyone entitled to act on 
my behalf, waive and release the organizers of the 3M 5K, 
The Marrow Foundation, 3M, Capital Running Company, USATF, and 
all other sponsors, their representatives and successors from 
all claims or liabilities of any kind arising out of my 
participation in this event or carelessness on the part of the 
persons named in this waiver. Further, I grant permission to 
all of the foregoing to use any photographs, motion pictures,
recordings, or any other record of this event for legitimate 
purposes. I also agree to return my rental ChampionChip or 
pay $35 for its replacement.


Signed: 




________________________________________________________________
Parent or guardian if under 18 years of age          Date