ONLINE REGISTRATION:to register online just click on the goracego.com link
MAIL IN REGISTRATION FORM
If you don't want to do online registration, please feel free to print and mail in this application.
PLEASE CIRCLE WHICH CATAGORY YOU ARE REGISTERING FOR:
Individual
Team (5 member team only)Family (3-7 family members)
Team (5 member team only)Family (3-7 family members)Saturday July 17, 2010
8:00 a.m. Run/Walk
Make check payable to: Run Thru Sparta
Send To: 258 S State St, Sparta, MI 49345
Feel Free To Photocopy for additional entry: PLEASE PRINT CLEARLY
First Name________________________________________________________
Last Name _____________________________________________________________________
Gender: (circle one) M F
Age on 7/8/10 ______________DOB ________________________________________
Address: _______________________________________________________________
City_____________________________________ State _________ Zip____________
Phone (_______) ________________________Emergency #___________________________
Contact Person _______________________________________________________________
Email _______________________________________________________________________
T-shirt size: S M L X XXL (add $1) Youth L
If you are competing with a team/family we need an application filled out for each member with the Team/Family Name and all applications must be submitted together.
Team Name ___________________________________________________________________
Legal waiver & signature: I hereby certify that I have carefully read, understand, and agree to the Entry Form and will be legally bound by this release (waiver). I certify that I have entered this race of my own free will. I am in a physicals condition that allows me to enter this event. In consideration of the acceptance of my entry, I d, for myself, my heirs, administrators and executor waive and release, forever, any and all rights to claims and suits for damages I might accrue against Run Thru Sparta, is representatives, sponsors, volunteers &/or beneficiaries, for any and all injuries suffered by me while traveling to, from , and while participating in the race event. Further, I certify that I am covered by my own medical insurance or, failing that, accept full responsibility for any and expenses I may incur. My photograph, likeness, or video may be used for any legal purpose by race organizers. I have read this waiver and agree to its terms.
Signature of applicant ________________________________________________________
Date______________________________________________________________________
You must participate in all three road runs to be eligible for race series awards.
