Saturday, June 2, 2007 -- Charleston, WV
2007 Beat Beethoven 5K Fun Run/Walk (iPO Event Id#: 10082) - Return to the Details Page

Please make checks payable to the WVSO and mail completed entry form to: Symphony Fun Run/Walk * P.O. Box 11887 * Charleston, WV 25339

NAME_______________________________________________________________

MAILING ADDRESS____________________________________________________

___________________________________________________________________

PHONE______________________________________________________________

EMAIL______________________________________________________________

AGE BRACKET: _____20 & Under /_____21-30 /_____31-40 /_____41-50 
 
             _____51-60 /_____61+  

GENDER: ____Male or ____Female  I Plan to: _____RUN  ______WALK

T-Shirt size:________________________

Discalimer:"In consideration of your accepting this entry, I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors, and administrators, waive and release any and all rights and claims for damages I may have against the West Virginia Symphony Orchestra, sponsors, the City of Charleston, the County of Kanawha, the State of West Virginia, and volunteers of the race, their representatives, successors and assignors, of any and all injuries suffered by me in said event. I attest and verify that I am physically fit and have trained for the competition of this race and my physical condition has been verified by a licensed medical doctor."

_______________________________________________________________ Signature (Parent/Guardian must sign if under 18)