	The Staten Island Runner sirunning.com	Purchase this poster and others, click here.

The Staten Island Runner

sirunning.com

Purchase this poster and others, click here.

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Jeff's Run - 5K
October 5, 2003

Online Registration is Closed for this race

Click here for the race information page and a printable application

Step1:
Personal Information
First Name
Last Name
Age as of October 5th
Date of Birth - month-day-year
Male Female
Address 1
Address 2
City State Zip Code
Phone
Email Address
NYC Firefighter?
Fire Department Co.#
Clydesdale/Athena Weight
By submitting this form I agree to the following:
In Consideration of your accepting this entry, I the undersigned, intending to be legally bound, hereby for myself, my heirs, executors and administrate, waive and release any and all rights and claims for damages I may have against Mt. Loretto, the Firefighter's Burn Foundation,, Tottenville Civic Association, Jeff’s Run Committee and the City of New York and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest and verify that I will participate in this event as a footrace event, that I an physically fit and have sufficiently trained for the completion of this event and my physical condition has been verified by a licensed Medical Doctor. Further, I hereby grant full permission to any and all forgoing to use any photographs, videotapes, recording or any other record of the event for any legitimate purpose.
There will be a $1.65 processing fee for online application.

The Staten Island Runner

Jeff's Run - 5K October 5, 2003

Online Registration is Closed for this race

Jeff's Run - 5K
October 5, 2003