Registration
Kids' Fun Run Pre-Registration
Parent/Guardian Information
First Name
*
Last Name*
Address
*
City
*
State*
Zip*
Telephone
*
E-mail*
Child Participant
First Name
*
Last Name*
Kids' Fun Run
*
----
1/2K (Ages 7 & Under)
1K (Ages 8-12)
Age*
Gender*
----
Female
Male
T-Shirt Size
*
----
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Registration Fee
*
$15
I will commit to soliciting $60 or more in pledges
* Individual Registration fee will be waived for individuals with $60 or more in pledges. Sponsor forms and all pre-paid pledges must be submitted by Monday, November 8, 2010. Race Day Kids' Fun Run Registration is $15. All registered Kid participants will recieve official t-shirt and goodie bag. In addition, all kids crossing the finish line will recieve an official medallion.
** All participants are required to sign a Waiver of Liability, Assumption of Risk, and Indemnity Agreement. This will be available at the Check-In/Registration booths on Race Day.
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