There are two ways to register. The easiest way is online through

Secure Online Registration pop up window

Or, print, complete and mail the following Registration and Waiver Form.

Note: "Night Before Registration" will take place Friday, June 25 from 4:00PM to 7:00PM at the YMCA, 110 County Road. You may register during this time (cash only) and/or pick up your number.

(rain or shine, no refunds)

9:00 AM	10:00 AM	10:45 AM
3.5k WALK	5k RUN	1 MILE FUN RUN
$10 Pre-Registration (until 6/25@12midnight) $13 Race Day	$15 Pre-Registration (until 6/25@12midnight) $18 Race Day $10 High School Students and under	$5

Download Registration Form (pdf)

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Registration

Event(s): 3.5k Walk_____ 5k Run_____ 1m Kids Run _____

Last Name_________________________ First Name _____________________

Mailing Address __________________________________________________

City ___________________________ State _____ Zip ___________________

Day Phone ( _____ ) _______________ Eve. Phone ( _____ ) _______________

Male _____ Female _____ AGE (as of 6/28/08) _____

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IN CONSIDERATION FOR BEING ACCEPTED, I FOR MYSELF, MY HEIRS, EXECUTORS, ADMINISTRATORS, WAIVE AND FOREVER RELEASE ANY AND ALL RIGHTS AGAINST THE SPONSORS, IPSWICH ROTARY CLUB, ROTARY INTERNATIONAL, APPLETON FARMS, THE TRUSTEES OF RESERVATION, THE TOWN OF IPSWICH, THE IPSWICH SCHOOL DISTRICT AND ANY AND ALL OFFICERS, OFFICIALS, MEMBERS, EMPLOYEES, VOLUNTEERS & TRUSTEES HOLDING THE EVENTS ARISING FROM MY PARTICIPATION IN THE IPSWICH ROTARY 5k AT APPLETON FARMS. I HAVE TRAINED FOR AND AM MEDICALLY FIT TO PARTICIPATE. I GRANT PERMISSION TO ALL THE AFORE MENTIONED TO USE MY PHOTOS AND/OR VIDEOS FOR ANY LEGITIMATE PURPOSE.

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SIGNATURE (PARENT OR GUARDIAN IF UNDER 18); DATE

 

Mail Completed Registration Form, Signed Waiver & Check to:

Ipswich Rotary 5k
c/o Institution for Savings
2 Depot Square
Ipswich, MA 01938

There is no rain date and no refunds.

 

Questions and inquiries

 

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