Atlantic City's 150th Birthday Celebration RUN/WALK
RW/Reebok sponsored DATE Saturday, June 19, 2004
print ...Please provide the following contact information:

  
 
Name
_________________________
    
Team/School
____________________________
    
Address
_____________________________
    
City State Zip
___________________________________
    
Telephone
________________________________________
    
Email
___________________________________________
    
Please select one
Male Female

Check one...
Youth 8-15 16-19 20-29 30-39 40-49 50-59 60+
Check one...
10 K 9:00AM 5K 9:30 AM ADULT 2 MILE 9:45AM

CHECK ONE: TEESHIRT SIZE....MEDIUM LARGE XLARGE XX LARGE

REGISTRATION   - INCLUDES T-SHIRT  - WHICH WILL BE MAILED

ADULT REGISTRATION (INCLUDES T-SHIRT) $25.00 ___________

YOUTH SCHOOL REGISTRATION & TEE $15.00 ___________

Participants: to gain entry to the Michelob and other sponsors party, inside Boardwalk Hall, you must present Race Bib and age appropriate ID.
Non participants must wear the official race day shirt (available for purchase by using this form) and present age appropriate ID. Outdoor festivities in Kennedy Plaza is open to all age groups with Race Bib or race day shirt. Thank you for your cooperation.

ADDITIONAL PRODUCTS PRICE
SIZE
QUANTITY
TOTAL
Additional tee shirt each (collectible) $12.00
________
___________
___________
Long sleeve white tee shirt $20.00
________
___________
___________
White tank top $12.00
________
___________
___________
Embroidered white cotton baseball hat $20.00
________
___________
___________

I know that competing in a 10K, 5K, or walk can be hazadous activity.  I should not enter unless I am medically able and properly trained. Having read this waiver, I for myself and anyone acting in my behalf, waive SCOOPS PRODUCTIONS, The City
of Atlantic City, Atlantic City Historic Boardwalk Hall, LLC, ACCVA, Aramark, ACIA and NJSEA. and all sponsors from claims and liabiities resulting in my participation in this event. Submission of application will serve as signature.

Money order or check to SCOOPS. Make payable to SCOOPS : Online registration total: ___________________________
T-shirts  along with bibs can be picked up at the ready registration desk at Kennedy Plaza  before 8:30AM Additional information  phone  215 474-1057
[email protected]
payment accepted by credit card
Gravity Bongs: Your Ultimate Guide to Choosing the Perfect Bong

Bongs offer a unique and enjoyable way to experience smoking, providing smoother hits and enhanced flavor through water filtration. Their design allows for cooler smoke, making the experience more pleasant. Exploring the durability of a glass pipe reveals its ability to withstand heat and stress, ensuring longevity. Invest in a quality glass smoking pipe today to elevate your sessions and enjoy both functionality and style in every puff.