Register For
Caumsett At HECKSCHER State Park USATF National 50K Road Championship and GLIRC 25K Run

Registrant #1

Who are you registering? *


By selecting this box, you are indicating that you are the parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of the information about the child for the purpose of the registration as described in our privacy policy.

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Basic Info

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Additional Information

Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####

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Choose Your Event(s) *

GLIRC Members - $10 Discount!
Sunday June 13, 2021
Open to ages 18+.

$65.00 + $4.77 SignUp Fee

A discount of $10.00 for club members is available for this race

GLIRC Members - $10 Discount!
Sunday June 13, 2021
Open to ages 18+.

$65.00 + $4.77 SignUp Fee

A discount of $10.00 for club members is available for this race

GLIRC Members - $10 Discount!
Sunday June 13, 2021
Open to ages 16+.

$60.00 + $4.48 SignUp Fee

A discount of $10.00 for club members is available for this race

GLIRC Members - $5 Discount!
Sunday June 13, 2021 - Sunday June 20, 2021

$35.00 + $3.03 SignUp Fee

A discount of $5.00 for club members is available for this race

GLIRC Members - $5 Discount!
Sunday June 13, 2021 - Sunday June 20, 2021

$35.00 + $3.03 SignUp Fee

A discount of $5.00 for club members is available for this race

Would you like to join the following club: Greater Long Island Running Club?

As a club member, you will receive a discount on event fees.

Waiver

Please fill out the entry blank, read the following statement and sign below: I the undersigned, intending to be legally bound, hereby for myself, my heirs, executors and administrators, hereby waive, release and hold harmless the Greater Long Island Running Club, SRC Timing, the State of New York, USATF, all Run sponsors, and their agents, employees, representatives, successors and assigns, from any and all liabilities, claims, demands and causes of action whatsoever arising directly or indirectly from my participation in this event, even if any of such liabilities, claims, demands and causes of action arise in whole or in part out of the negligence of any of the above-mentioned organizations or individuals. I attest and verify that I am physically fit and have sufficiently trained for the completion of a 50 Kilometer Run or a 25 Kilometer Run, and that my physical condition has been verified by a licensed medical doctor. Further, I hereby grant permission to any and all of the above mentioned organizations and individuals to use any photographs, videotapes, motion pictures, recordings or any other record of this event and my participation in this event for any purpose whatsoever. 

I acknowledge the contagious nature of COVID-19 and other communicable diseases and voluntarily assume the risk that I may be exposed to or infected by COVID-19 and/or other communicable diseases by participating in this event. I acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 in connection with my participation in this event and personally assume this risk. As it applies to my participation in this race, I agree to abide by the Center for Disease Control (CDC)’s recommendations for the prevention of the spread of COVID-19 and attest to having read the CDC’s guidance at: https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html. I also agree to abide by any COVID-19 distancing and other safety guidelines issued by the state, the community or by this race for my participation in this race.

In the event we are not able to hold the race we will issue refunds.  Refunds will not be issued under any other circumstances, and bib numbers are not transferable under any circumstances.  We reserve the right to change the details of the event without prior notice.

If you are participating in the virtual race:  I specifically assume all risks to me associated with running on my own as part of this virtual event.  I attest and verify that I am physically fit and have sufficiently trained for the completion of this event, and that my physical condition has been verified by a licensed Medical Doctor. If signed by a parent, the parent agrees to release and hold the above-named organizations and individuals harmless of any claims and rights which might otherwise have been asserted on behalf of the applicant. Further, I hereby grant permission to any and all of the foregoing organizations and individuals to use photographs, videotapes, motion pictures, recordings, and any other record of this event for any purpose whatsoever. 

By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver including the no refund policy.




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