USATF-CT Association Racewalk Championship

Sunday Nov 1, 2026

9:30am 1 Mile fun Walk (with short instruction 10 min before)

10:00am 5000m (3.1miles) Open/ Jrs/ Masters

Peters Recreational Complex Track, 137 Glenwood Rd – Clinton, Connecticut

06413 (track is at the back of the complex. Porta potty but no changing facilities)

5000m Awards – Open, Jrs and Masters / Ribbons for 1 mile fun walk.

Please be prepared to keep count of your laps or bring someone who can.

Entry Fee $15.00- 5K $5.00-1 Mile – Payable at the event. Cash or make checks payable to

Connecticut Racewalkers.

Call or Maryanne/ Ron Daniel 203-215-6301 for more info.

Please e-mail mdanielracewalk@gmail.com to indicate you are racing. You can fill out form

below and bring it with you

————————————————————————————————————

First Name: _____________________ Last Name: _______________________

Age on Race Day: ___

Club:________________________________________ Association______________

E-mail address________________________________

Address: _____________________________________ Male: ____ Female: ____

City: _____________________________State: ________ Zip:___________

Athletes who participate in this competition may be subject to formal drug testing in accordance with USA Track & Field

Regulation 10 and WA Rule 55. Athletes found positive for banned substances, or who refuse to be tested, will be

disqualified from this event and will lose eligibility for future competitions. SOME OVER-THE-COUNTER MEDICATIONS

CONTAIN BANNED SUBSTANCES. INFORMATION REGARDING DRUG TESTING MAY BE OBTAINED BY CALLING

THE USOC HOT LINE AT 800-233-0393.

In consideration of your accepting this entry, I, the undersigned intending to be legally bound, hereby, for myself, my heirs,

executors and administrators, waive and release any and all rights and claims for damages I may have against the

Connecticut Racewalkers, Ethel Peters recreation Complex track/ Town of Clinton, USATF and any and all sponsors and their representatives,

successors and assigns for any and all injuries suffered by me in said event, even if such injuries result from negligence, fault or carelessness of

the Connecticut Racewalkers or any of the other above mentioned groups. I attest and verify that I will participate in this event as a footrace

entrant, that I am physically fit and have sufficiently trained for this event, and my physical condition has been certified by a licensed medical

doctor. Further, I grant permission to any and all of the forgoing to use any photographs, video tapes, motion pictures, recordings or any other

record of this event for any legitimate

purpose.

Signature: __________________________ (Parent’s if under 18)