5K Run Guess Your Time
When:
Saturday, July 19, 2008, 9 am
Registration begins at
Where:
What
:
Runners
will predict their overall time for a 5K course that winds through
scenic
awards
No
watches!
Participants will receive free tickets to a Straw Hat Theater Show
Cost :
$10
adults $6 students
Registration
Form
Last Name
______________________________________________________________
First Name
______________________________________________________________
Address
________________________________________________________________
Phone
_______________________ Email
_____________________________________
Age on Day of Race
____________
Gender (circle one)
M
F
Race Waiver
I, individually, (and/or as
parent, and/or guardian of the named minor) for and in consideration of
acceptance of this entry in the aforementioned event, do hereby release, remise,
waive, and forever discharge the Ashtabula Arts Center and any and all other
supporting groups of this said racing event together with all their officers,
agents, officials, and employees, from any and all liability, claims, demands,
actions, or causes of action whatsoever arising out of, or relating to any
injury, illness, loss, or damage, including death, relating to participation in
the aforesaid event. I further state
I am in proper physical condition to participate in this event.
Signature
_______________________________________
Date ___________________
Signature
_______________________________________
Date ___________________
Parent/Guardian MUST sign
if participant is under age 18
Mail
or drop off form
with
payment to:
Make checks payable to:
Call 440-964-3939 if you need more information.