Sunday, December 7, 2008 -- Morgantown, WV / Krepps Park, Suncrest
Back Bay Snowflake Sprint 5K-MAGP Sprint #11
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Please make checks payable to :
W.VA. Track Club
Mail entry Forms to:
W.VA. Track Club
P.O. Box 4159
Morgantown, WV 26504
PLEASE PRINT - (APPLICATION MUST BE SIGNED)
NAME:_____________________________________________________
ADDRESS:__________________________________________________
CITY:_______________________________STATE:____ZIP:________
PHONE:____________________________________________________
AGE ON 12/7/08:______ MALE:______ FEMALE:_______
Date of Birth:________________ 5K RUN___ 5K WALK___ KID'S RUN___
T-SHIRT SIZE: ADULT: S__ M__ L__ XL__ CHILD: S__ M__ L__
WAIVER:
In consideration of your acceptance of my application for entrance in
the Snowflake Sprint 5K Run/Walk or Flurry Fun Run for Kids, I, for
myself and anyone entitled to act on my behalf, waive and release the
Morgantown Roadrunners/West Virginia Track Club, the Road Runners Club
of America and all sponsors, their representatives and successors from
all claims or liabilities of any kind arising out of my or my child's
participation in this event.
_________________________________________________________
Entrant's Signature
_________________________________________________________
Parent or guardian's Signature if under 18 years old
