Form Center

2. First Name
3. Last Name
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
12. Fax Number
14. Email Address
16. Acknowledgment*

    1. Yes

    1. No

    
    

    
    

    In exchange for receiving an Invitational Entry Form you acknowledge that you are required to fundraise for the BAA Grant Program.  Minimum fundraising is $3,000.00 and you are also responsible for all BAA expenses associated with registering for the race. 

    
    

18. Additional Information:

    As part of the selection process preference is give to Ashland residents and employees.  Names are drawn at random and anyone not receiving an entry form will be placed on the waitlist in the order their name was drawn.

    Deadline for submission is October 15, 2023.

    Please contact Susan Robie 508-532-7921 or srobie@ashlandmass.com with any questions you may have.

Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field