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The Staten Island Athletic Club
Staten Island's 2nd

6 Hour
Ultra Marathon Race

Saturday, September 22, 2001

START: 		8 am	FINISH:	2 pm
CHECK IN:	7 am - 7:45 am at Clove Lake Park / Number pick up & race instructions
		On Clove Road (1 block past Victory Blvd.) at Park House “STONEHEDGE”
COURSE:		Continuous 2 mile loop thru scenic Clove Lakes Park, Staten Island, New York

Confirmation letter includes: Course description, directions to race, public transportation available from
Staten Island Ferry

AWARDS:		1. Marathon Distance or More
		2. 1st SIAC Member
		3. 1st Staten Islander (In memory of Mike Racioppo)
		4. Top Overall Finishers

ENTRY FEE:	$30.	Includes: T-shirt	All entries due by Sept. 14, 2001
			- “No Race Day Entries”
			-Make check payable to:   SIAC
			-Mail to: D. Caputo, 40 Kingsley Ave, Staten Island, NY 10314
			-Check Website: for info.

AID STATIONS:	Gatorade, water, ice, sponges, snacks, first aid kit!
POST RACE:	Awards & Refreshments at “Stone Hedge” in Clove Lakes Park
RACE DIRECTORS:	Mike Tobin (718) 442-2284 & Dave Caputo (718) 816-9530

Name__________________________________________ Sex:   M   F	Age: ______

Address________________________ City_____________ State_______ Zip________

Phone________________________________	T-shirt size:	M	L	XL
	I know that running a road race is a potentially hazardous activity. I understand that should not
enter and run unless I am medically and properly trained. I agree to abide by any decisions of the 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 humidity, traffic and conditions of the road, all such risks being known and appreciated by me.
Having read this waiver and knowing these facts waive and release S.I.A.C., race committee and the NYC
Parks Department and any sponsors 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.

Signature:__________________________________________	Date:_______________