The 50th Annual 
Walter Childs Memorial
Race of Champions Marathon

Sunday, May 6th, 2012 - 8:00am

America's 10th Oldest Marathon  and  the 19th Oldest Marathon in the World....


Entry fee: $50 (until April 27th)  Post Entry: $60 (after April 27th)

Name

E-mail

Address

City

State

Zip

D.O.B.

Age

Sex

 M   F

Club/Team

USATF#

T-shirt

 Small      Medium      Large      X-large

In consideration of the acceptance of this entry, I do forever release the Greater Springfield Harriers, the City of Holyoke, USATF-New England and all other sponsors and organizers of the marathon from any claims whatsoever from my participation in this event.  I attest that I am physically fit and sufficiently trained to complete this event.

Signature:                                                                           Date:                                      

Make Checks payable to:     Greater Springfield Harriers
Mail Entries to:     Greater Springfield Harriers, 231 Elm Street, West Springfield, MA 01089  (413)734-0955