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    Spring Run Off Registration Form

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    jaime9430
    This document is a registration form for the 2nd Annual Spring Run Off being held on March 3rd, 2012 at McKay Elementary School in Pendleton, Oregon. It provides information on the 5K run/walk and kids fun run including registration fees and t-shirt preorder deadlines. The form collects contact and payment information from participants and includes a liability waiver acknowledging the risks of participation that must be signed to take part.

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    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    Spring Run Off Registration Form

    Uploaded by

    jaime9430
    164 views1 page
    This document is a registration form for the 2nd Annual Spring Run Off being held on March 3rd, 2012 at McKay Elementary School in Pendleton, Oregon. It provides information on the 5K run/walk and kids fun run including registration fees and t-shirt preorder deadlines. The form collects contact and payment information from participants and includes a liability waiver acknowledging the risks of participation that must be signed to take part.

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    This document is a registration form for the 2nd Annual Spring Run Off being held on March 3rd, 2012 at McKay Elementary School in Pendleton, Oregon. It provides information on the 5K run/walk and kids fun run including registration fees and t-shirt preorder deadlines. The form collects contact and payment information from participants and includes a liability waiver acknowledging the risks of participation that must be signed to take part.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    164 views1 page

    Spring Run Off Registration Form

    Uploaded by

    jaime9430
    This document is a registration form for the 2nd Annual Spring Run Off being held on March 3rd, 2012 at McKay Elementary School in Pendleton, Oregon. It provides information on the 5K run/walk and kids fun run including registration fees and t-shirt preorder deadlines. The form collects contact and payment information from participants and includes a liability waiver acknowledging the risks of participation that must be signed to take part.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    2nd Annual Spring Run Off Registration Form March 3rd, 2012

    Shiny Penny Syndrome 5K Run/Walk Registration Form


    MCKAY ELEMENTARY SCHOOL 1539 SW 44th St., Pendleton, OR 97801 Race Begins at 9:00 am / Kids Race Begins at 8:30 am Return forms and money to: Shiny Penny Syndrome, 1816 SW 3rd St., Pendleton, OR 97801 Name:_______________________________________ Gender: M or F Age on Race Day:_____ Address:_________________________________________________________________________
    Number/Street City State Zip

    Email:___________________________________ Phone Number:__________________________


    5K Run/Walk ($10.00 reg. fee)

    Kids Fun Run (12 & Under, $3.00 reg. fee)


    M L XL (please circle size)

    $10.00 T-Shirt Size ( pre orders only, must be postmarked by 2/25/2012) : S

    Same day registration begins at 8:00 am, Saturday, March 3rd, 2012 at McKay School

    Payment Information: (circle one): CASH or CHECK Please make checks out to: Shiny Penny Syndrome
    Liability Waiver must be signed to participate in the Shiny Penny Syndrome Spring Run Off 5K Run/Walk. I recognize that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of race officials relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of the weather, including cold, snow, and/or ice, high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the organizers of the SPS 5K Run/Walk, its directors, officers, staff, and volunteers, the city of Pendleton, OR and its employees from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. I ALSO UNDERSTAND THAT THERE ARE NO REFUNDS FOR THIS EVENT.

    ______________________________________________________
    Signature of participant or guardian if under 18

    ______________________
    Date

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