Saturday - September 25, 2004

Sea Girt, NJ

To Benefit New Jersey Elks Camp Moore

A Summer Camp for Children with Special Needs - Where Miracles Happen

9 AM Start

Registration Starts at 8 AM

Directions: Garden State Parkway Exit 98 to Rt 34 South to Atlantic Avenue East - Follow to Rt 35 around circle North to Sea Girt Avenue - Follow directly to Sea Girt National Guard Training Center after Rt 71 and across the tracks on the right.

INFO: jsrc@hotmail.com or 732-542-6090

Long Sleeve T-Shirt to All Entrants

Post Race Party, Awards Ceremony and Barbecue

Award Categories

Open Men's, Open Women's, Open Mixed, Master's Men, Master's Women, Mixed Master's

Best Dressed Team, Most Spirited Team, Other Special Awards and Random Prizes

$25 per person - $20 for JSRC Members prior to September 18

$30 after Sept 18 and day of for all - Shirt Not Guaranteed ($15 without Shirt)

Register ON - Line at Jersey.Runner.com

Download Application and Waiver

Please Fill Out Completely

Mail Below with Check to: JSRC Relay by the Sea, PO Box 7492, Shrewsbury, NJ 07702

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Relay By The Sea Application

Circle One

Open Men - Open Women - Open Mixed -

Master's Men - Master's Women - Mixed Master's

______________________ ____________________

Team Captain Team Name

_____________________________________________

Street Address

______________________ _________ ______________ _____________

City State Zip Phone E - Mail

Shirt Sizes (List for all Team) S____ M____ L ____ XL_____

Amount Enclosed:

Registration $________ (See Above)

Donation to Camp Moore $________

Total Enclosed $________

JSRC