Sunday, August 12, 2012 -- Morgantown, WV
Run For FUNds
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RACE CONTACT: Laura Baker 304-363-4882 (email) laura.baker@tcli.us OR Ashley Riggleman 304-296-3300 (email) Ashley.riggleman@tcli.us
Entry Fee: $20.00 before 8/5/12 and $25.00 thereafter and on race day. Kids Run $10.00
Make payment payable to: The Connecting Link, Inc. and Mail entry form/check to:
The Connecting Link, Inc., Run for Funds
235 High St Room 208
Morgantown WV 26501
PLEASE PRINT
Name:________________________________________________________________________________
Address:_____________________________________________________________________________
City/State/Zip:______________________________________________________________________
Phone:(______________)________________________________________
E-mail:_______________________________________________________
Age as of 08/12/2012: ____ // Gender: ___Male ___Female
Shirt Size Adult: M___ L___ XL___
Shirt Size Kids: M___ L___ XL___
How did you hear about this event?___________________________________
Waiver:
In consideration of your acceptance of my application in the, The Connecting Link, INC 5K Run, I for myself and anyone entitled to act on my behalf, waive and release The Connecting Link, INC and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. The participant represents and warrants that he/she is in good physical condition and is able to safely participate in the race. Participant is aware of the risks and hazards with 5k run/ walks. You MUST Sign and DATE form.
_____________________________________________________________________________________
Signature . . . (Parent or guardian must sign if under 18 years of age)
____________________________________
Date