Saturday, July 14, 2007 -- Arthurdale, WV
Beth Bonner Memorial 5K-MAGP Sprint #5
Mail to and make checks to: BETH BONNER MEMORIAL 5K RUN
PO Box 850, Arthurdale WV 26520
Waiver (MUST SIGN): In consideration of acceptance of this entry, I for myself, my executors, administrators and assignees do hereby release Arthurdale Heritage, Inc., the Morgantown Roadrunners/West Virginia Track Club, and other race sponsors for all claims of damage, demands, actions whatever in any manner arising or growing out of my participation in said athletic event. I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate in this event. I also release any photos that may involve myself.
______________________________________________________________________
Signature of Participant or Guardian (if participant is under the age of 18)
____________________________________
Date
Name___________________________________________________________________
Age on 7/14/07_________ --- Birth Date ____/____/____
Address________________________________________________________________
State_______________________Zip_______________________
Phone ( )______________________________________Sex: M ___ F ____
Email __________________________________ Event: Run_____ Walk_____
T-Shirt size: S_____ M_____ L_____ XL_____
$15 Pre-registration fee (postmarked by 7/1/07) _____
(Pre-registration guarantees T-shirt size)
$20 Registration fee on day of race ______