Saturday, April 19, 2008 -- Morgantown, WV
Earth Day 5K-MAGP Sprint #3 (iPO Event Id#: 10592)

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Entry Fee: $15 if received by Friday, April 11, 2008. Applications received after April 11th and on race day will be $20. All fees are non-refundable. Please make checks payable: Mon. County SWA

Mail To: BOPARC/ Earth Day 5K, P.O. Box 590, Morgantown, WV 26507-0590

Name:____________________________________________ Phone: (__________)_____________________

Address:__________________________________________________________________________________

City/State/Zip:___________________________________________________________________________

Gender: M____ F____ // Date of Birth: _____/_____/_________ Age on 4/19/08:______

Email:_____________________________________________________

Choose the event you will participate in: 5K Run___ // 5K Walk___ // Fun Run___

Grand Prix Participant? Yes______ // No______

T-Shirt Size: Small____ Medium____ LG ____ XL____ XXL_____ None______ Youth LG_______

Release Statement: In consideration of acceptance of this entry, I waive any and all claims for damages which may result from my participation, or from the participation of the minor that I am signing for in the 2008 Earth Day 5K. Any and all claims are waived for myself, heirs, and assigns. The sponsors and their agents or representatives will assume no obligation for injuries or damages that I may incur.

Signature of Runner:_______________________________________________________________

Date:___________________________

Signature of Parent/Guardian:______________________________________________________

Date:___________________________