2nd Annual Ralph Marshall Sr. Memorial

Foundation 5K Road Race

Registration Form

Name:_____________________________ Address:_____________________________

City:_______________  State:_____ Zip Code:______ Telephone # (       )          -

Age:___________  E-mail Address:__________________________________________

T-Shirt Size:_____________________

I, _________________________________, do hereby release and hold harmless from liability and injury Town of Seabrook, Seabrook Elementary and Middle Schools, Ralph Marshall Sr. Memorial Foundation and all other organizers and sponsors of this event.

Signature:____________________________________ Date:______________________

Parent/Guardian’s Signature(if under18):______________________________________

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After completing the information above, cut on the line and enclose top portion with the $20 donation fee.  Please do not mail later than August 1^st. 

Please make check payable to:

Ralph Marshall Sr. Memorial Foundation

Mail this form and check to:                                      You may also use the drop box at:

Virginia Marshall                                            Seabrook Recreation

53 Ledge Rd                                                  311 Lafayette Rd                        

Seabrook, NH 03874                                       Seabrook, NH 03874

Or you can bring this registration the day of the race.

For more information or to sponsor this event

contact Ginny Marshall

(603) 760-2611

or via e-mail at marshall5359@yahoo.com

Thank you for your support!