Third Annual
Ghosts & Goblins 5K Run
1 Mile Fun Run/Walk
Free Kids Monster Dash
October 26, 2008
Kiwanis Park ~ Tempe, Arizona
Take Baseline entrance to Kiwanis Park between Mill Ave. and Kyrene
Registration Starts 7:00 a.m. Race starts at 8:00 a.m.
registration form WITH CHECK made payable to and Mail to:
Arizona RunningEvents Co (ARC)
5290 W. Melinda Ln.
Glendale, AZ 85308
Registration Form
Last Name: First Name:
Address: Apt./Suite:
City: State: Zip:
Phone: Date of Birth:
Age on Race Day: Email Address:
Gender: male female
Event: 5K Run 1 Mile Fun Run/Walk
Adult T-Shirt Size: S M L XL
PRICING
Category
Early Entry (postmarked by 10/16/08)
Entry
(postmarked after 10/16/08)
Day-Of
Fill in Amount
5K Run
$15.00
$20.00
1-Mile Fun Run
$10.00
TOTAL
Please read the waiver and sign the form. Thank You. RELEASE FORM (MANDATORY): All applications MUST be signed to enter this event. No entry accepted without fee. NO REFUNDS.
In consideration of your acceptance of this entry, I, the undersigned, hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the Arizona RunningEvents Company, USAT&F, City of Tempe, sponsors, coordinating groups, and any individuals associated with the event, and their representatives, successors, officers, agents, and assigns, for any and all injuries sustained and suffered by me during this race. I verify that I am physically fit and have sufficiently trained for competition of this event and my physical condition has been verified by a licensed medical doctor. I will permit the free use of my name and hereby grant full permission to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any legitimate purpose. I understand that the entry fee is non-refundable and numbers are not transferable. I have read the foregoing and certify my agreement by my signature below.
Signature:____________________________________________________________Date:________________
Parents signature (if under 18 years of age) & DATE)__________________________________________