Instructions: Print this form, fill it in and mail with payment to:

• Complete the attached entry form.
• Attach a business card if applicable - for eligibility for City Baths Corporate Membership.
• Please include a stamped self - addressed envelope (110mm x 220mm) with each entry for return of your race number
• Attach cheque to entry, payable to Melbourne City Sports.
• Mail entry to above address

Family Entrants
If you would like to take advantage of the family entry fee please include all family entries in the one envelope.

Long Course Team Entrants
Each team member must complete a separate entry form. All team member entry forms must be sent in the same envelope Teams must have three or more runners. Trophies will be awarded to winning teams only at each run.

Super Sunset Series T-Shirt
All series entrants who enter before the close of office entries to the TIP TOP Albert Park Run, will receive a complimentary T-Shirt. Single race entries cannot be accumulated.

Please Note: Single race entrants throughout the series may purchase T-Shirts at an additional cost.

Surname: _____________________	Given Name: _____________________

Address: __________________________________________P/C: _________

Phone:   __________ (AH) __________(BH) Age on 5/12/98: _________ 

Sex: M / F	Series T-Shirt Size (Please Circle): S  M  L  XL  XXL

PLEASE ENTER ME FOR:

[ ] Long Course Series $40	[Includes all 4 runs]
[ ] Long Course $13 each	[RUN 1 / RUN 2 / RUN 3 / RUN 4]
[ ] Short Course Series $30	[Includes all 4 runs}
[ ] Short Course $10 each	[RUN 1 / RUN 2 / RUN 3 / RUN 4]

20 YEARS AND UNDER:

[ ] Long Course Series $40	[Includes all 4 runs]
[ ] Long Course $13 each	[RUN 1 / RUN 2 / RUN 3 / RUN 4]
[ ] Short Course Series $30	[Includes all 4 runs}
[ ] Short Course $10 each	[RUN 1 / RUN 2 / RUN 3 / RUN 4]

FAMILY SERIES ENTRY:

[ ] $85 for 2 adults and 2 children. $15 for each subsequent child.

ENCLOSED ENTRY FEE: $__________

I have read the declaration overleaf and agree to abide by all race rules and directions. (If entrant is 17 years or under this declaration must be signed by your parent or guardian.)

Signed: _______________________	Date: ___/___/___

1. I, whose signature appears on the entry form coupon in consideration of and as a condition of acceptance of my entry in this event, for myself, my heirs, executors and administrators, hereby waive all and any claim, right or cause of action which or they might have for or arising out of loss of life or injury, damage or loss of any description whatsoever which / may suffer or sustain in the course of or consequent upon /7iy entry or participation in the said event / will abide by the race rules.
2. The waiver, release and discharge shall be and operate separately in favour of all persons, corporation and bodies involved or otherwise engaged in promoting or staging the event and the servants, agents, representatives and officers of any of them.