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Entry Form 2nd Annual Band of Gold 5K Run/Walk - June 7, 2008 ***Please Complete All Information*** Make checks payable to: South Point Band Boosters Mail to: South Point Band 5K, PO Box 321, South Point, Ohio 45680. Due by May 17, to guarantee you receive a t-shirt. Amount Enclosed: $___________ Prior to race day, Adults - $15, Students (up to age 18) - $10
T-Shirt size (adult): ____S ____M ____L ____XL ____XXL Youth: ____S ____M ____L ____XL
Name: ________________________________________________ Address:_______________________________________________ City:_____________________________ State:_____________ Zip Code: __________ Phone:______________________ E-mail:____________________________________ Sex: M____ F____ Age on Race Day ________ WAIVER: In consideration of the right granted to me to participate in the Run for Gold 5K Run on June 7, 2008, I hereby waive all claims and damages against the South Point Band Boosters and any other sponsors and organizers arising from my participation or any injury I might suffer in this event. I attest that I am physically fit and prepared for this event. I understand that rollerblades, bikes, skateboards, etc. are not allowed. Runners must sign below.
Runner's Signature _________________________________________ Date: _____________
Parent/Guardian (for minors under age 18) ___________________________________ Date: _________ |