Saturday, September 13, 2008 -- Morgantown, WV
September Stride 5K-MAGP Sprint #7
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Race fee is $15 for the general public and $13 for employees (WVUH, UHA and WVU Health Sciences) if postmarked by Friday, Sept. 7. The discount does not apply to employees' family members. After this date and on race day, the cost is $18 for the general public and employees.
Send this form and payment to:
September Stride - West Virginia University Hospitals, Rehabilitation Services
PO Box 8060, Morgantown, WV 26506-8060
Name: _________________________________________________________________
Address: _______________________________________________________________
Phone: ________________________ E-mail: __________________________________
Age on 9/15/07: ________________ DOB: _____/_____/____ Male Female
Event: 5K Run 5K Run/Heavyweight 5K Walk
T-shirt size: M L XL XXL
If you're an employee of the WVU Health Sciences Center Campus,
please check the correct entity:
WVUH UHA WVU Health Sciences
Will you be attending the pasta dinner? Yes No
How many guests are you planning to bring to the pasta dinner?
_____ (Please note: If your guest/s is/are not participating in the event,
the cost is $5 per person.)
Race fee is $15 for the general public and $13 for employees
(WVUH, UHA and WVU Health Sciences) if postmarked by Friday, Sept. 7.
The discount does not apply to employees' family members.
After this date and on race day, the cost is $18
for the general public and employees.
Registration fee: $_________
Pasta dinner: $_________
Donation to Rosenbaum Memorial Fund: $_________
Total enclosed: $_________
Make checks payable to WVUH. No refunds will be given.
I hereby -- for myself, my executors, and my administrators -- waive any and all rights and claims I may have against West Virginia University Hospitals, individuals associated with this event, sponsors of this event, or suppliers for injury or damages suffered by me and which may arise out of or in any way be connected with this event. I knowingly assume all risks involved in this event.
________________________________________________________________ Signature of participant ________________________________________________________________ Parent's or guardian's signature (if under 18) ___________________________________________ Date