Entry Fees: Race fee for the 5k Race, including performance t-shirt (guaranteed only if registered by August 25,

2014otherwise, pending availability), post-event fun, and wine tastng (or

non-alcoholic alternatve for those under-age) is $50 in advance or $55 on the day of the race. Fee for the wine tastng (or alternatve) and entrance to the event is $18 in advance or $25
on the day of the event. Register online at htp://www.actve.com/frederick-md/running/distance-running-races/the-great-grape-race-series-september-14th-october-26th-and-
november-2nd-2014?int= or send completed entry form with payment to: March of DimesThe Great Grape Race Series, 13 Canal Street, Room 407,
Cumberland, MD 21502. Make checks payable to March of Dimes.
DISCOUNTS AVAILABLE FOR MULTIPLE RACE ENTRIES. PLEASE VISIT THE ONLINE REGISTRATION SITE OR CALL 301-723-7267.

Amount enclosed: $__________ 5k Race and Tastng or Tastng and Event Entry Only
Circle One: 9/14/14 at Elk Run 10/26/14 at Distllery Lane Ciderworks 11/2/14 at Detour Winery
T-Shirt Size (5k entries only): S M L XL XXL
Male Female Age on Race Day: _________ Name (First, Last):________________________________________
Street Address: ____________________________________________________________________________________
City: __________________________________ State: _____ Zip Code: ____________ Phone: ___________________
Date of Birth:_____________________ Email Address: ___________________________________________________
I understand that running is a potentally hazardous physical actvity and that I should not enter The Great Grape Race Series unless I am medically able and properly trained. In
consideraton of the furtherance of the purposes, objectves and work of the March of Dimes Foundaton (March of Dimes) and in consideraton of March of Dimes permitng me to
partcipate in The Great Grape Race Series, on behalf of myself, my heirs, executors, administrators and assigns, I hereby acknowledge by signing this form, that I am partcipatng in The
Great Grape Race Series at my own risk and I hereby waive and release now and forever any and all rights and claims for damages that I may have against March of Dimes, The Frederick
Steeplechasers, Elk Run Vineyards, Distllery Lane Ciderworks, Detour Winery, the municipalites in which The Great Grape Race Series takes places as well as any other person con-
nected with the The Great Grape Race Series, their heirs, executors, successors and assigns, for any and all injuries or illnesses that I may sufer while taking part in The Great Grape
Race Series, or as a result thereof.
Signature:___________________________________________________________ Date:____________________
(parent or guardian, if under 18 years old)

PROCEEDS BENEFIT MARCH OF DIMES
THE GREAT GRAPE RACE SERIES 2014
5k Race & Wine Tastng Series in Beautful Western Maryland
(Non-alcoholic alternatve for younger runners)
September 14th at Elk Run Vineyards, Mt. Airy, MD
October 26th at Distllery Lane Ciderworks, Jeferson &
Burkitsville, MD
November 2nd at Detour Winery, Keymar, MD
(Partcipate in 1, 2, or all 3 races) - Rain or Shine



For more informaton and to register, visit:
www.marchofdimes.com/marylandmetrodc
or complete and mail in the form below.
For sponsorship informaton, contact Nancy Wiley at nwiley@marchofdimes.com or 301-723-7267.
TO BENEFIT: IN PARTNERSHIP WITH:
Thank you to our sponsors: