1. Merrill lynch The Seiler Group Wealth Management For EARTH DAY 2002 Hosted by Lower Makefield Township 5K Run-Walk & Kids Dash Race Date : Saturday April 20, 2002 Rain or Shine, Macclesfield Park at River Road in Lower Makefield Twp., Yardley, PA 5K : 8:00 AM Registration 8:45 AM Start Kids Dashes : 10:00 Registration 10:30 Start 3-4-5………….30 Yards 6-7-8………….40 Yards 9-10-11-12……50 Yards Walkers and families are Welcome! Water stops provided by Culligan. Flat Course along canal. All Kids receive medals. Short Sleeve T-Shirts (while they last). Awards to winners. COMPUSCORE Race Scoring & Timing with FAST Results. WAIVER AND RELEASE (must be signed by participate) I understand that my consent to these provisions is given in consideration of the acceptance of this registration and for being permitted to participate in this event. I am a voluntary participant in this event and in good physical condition. I hereby assume full and complete responsibility for any injury or accident which may occur during my participation in this event and I hereby release and hold harmless The Seiler Group, Merrill Lynch, Lower Makefield Township and The Bucks County Audubon Society and Delaware State Canal Park of any claims that I may have arising out of participation in this event, including personal injury or damage suffered by me or others, whether same be caused by negligence of any of the said parties agents or employees or otherwise. If I do not follow all the rules of this event, I understand that I may be removed for the competition. I give my full permission to any of the said parties to use any photographs, videotapes or other recordings of me that are made during the course of this event. I hereby grant permission for the child listed above to participate in Kids Dashes on April 20, 2002. I, on my behalf and behalf of minor listed above, release and hold harmless The Seiler Group, Merrill Lynch, Lower Makefield Township and The Bucks County Audubon Society and Delaware State Canal Park of any claims that I may have arising out of participation in this event, including personal injury or damage suffered by me or others, whether same be caused by negligence of any of the said parties agents or employees or otherwise. If I do not follow all the rules of this event, I understand that I may be removed for the competition. I give my full permission to any of the said parties to use any photographs, videotapes or other recordings of me that are made during the course of this event. ___________________________________________________________ Name of Participant Signature of ParticipantDate ___________________________________________________________ Name of Parent or Guardian (Printed) Signature of Parent of GuardianDate Directions: From North: 95S towards PA. Take Exit 51A/Yardley. Taylorsville Rd becomes N. Main St. At 1 st light, make left onto Afton Ave. At end (stop sign), make right onto River Rd. Macclesfield Park is a ½ mile on right. (Park is approx. 7 minutes from exit) From South: 95N to Exit 51/New Hope. Keep right at fork onto Taylorsville Rd. Taylorsville Rd. becomes N. Main St. At 1 st light, make left onto Afton Ave. At end (stop sign), make right onto River Rd. Macclesfield Park is a ½ mile on right. (Park approx. 7 min. from exit) ------------------------------ Detach and Return Bottom Portion ------------------------ The Seiler Group 5K Run/Walk & Kids Dash for Earth Day 2002 Pre-registrations must be received by April 1, 2002 (photocopies accepted). Sign Waiver and Release required for each participant. I have enclosed a 100% Tax-Deductible Donation of $________ payable to “The Bucks County Audubon Society.” (minimum $10.00 per adult participant & minimum $5.00 per child under 12) Race Day registration available. (minimum $12.00 per adult participant & minimum $7.00 per child under 12). Shirt not provided for Race Day Registration participants. If you wish to support this cause, but will not be participating in the race, your donation is appreciated. Name: _____________________ Address: ___________________ ___________________ City: ______________________ State: ________ Zip: _________ Phone: _____________________ Participants Only: Date of Birth ____ /____/____ Gender: ____ (M/F) Adult T-Shirt Size: ___ S ___M ___ L ___ XL ___ XXL My child(ren) will be running in a Kids Dash: Child(ren) Name(s): ____________________ Age(s): ______ ____________________ ______ Child T-Shirt Size(s) ____ S ____ M ____ L Send Donations to: Merrill Lynch (Attn: Patrick Seiler, Race Director) 1040 Stony Hill Rd. Ste. 150 Yardley, PA 19067 Office: 1040 Stony Hill Rd. Ste. 150 Yardley, PA 19067 800 – 999 – 2635