FIRST ANNUAL

SHeZoni Run

5K Run ~ 10K Run

  April 24, 2010

10K & 5K Starts @ 7:30 AM

Registration Starts @ 6:30 AM

Tempe Papago Park

College North of Curry.  Parking in the Historical Museum parking lot.

 

After filling in all fields below, please print and mail check and registration form to

Arizona RunningEvents Co., 1963 E. Kentucky Ln. Tempe, AZ - 85284

 

PLEASE MAKE CHECK PAYABLE TO:

Choice-SHe Arizona

All proceeds from this race will sponsor medical aid through Singular Humanitarian and Choice Humanitarian in the countries of Guatemala, Bolivia and Nepal. For more information please visit our website at  http://www.singularhumanitarian.org/.

 

Last Name:   
First Name:

Address:    
Apt./Suite: 

City:             State: Zip:

Phone:       Age on Race Day:

Email Address:

 

Gender: male    female      T-Shirt Size;    XS    S     M      L     XL     

 

Event:         10K Run         5K  Run     

 

PRICING

Category


Entry Fee

thru 02/28/10
 


Entry Fee

thru 04/17/10
 

Entry Fee

After

 04/18/10

Fill in Amount

10K Run

$20.00

$25.00

$30.00

 5K Fun Run $15.00 $20.00 $25.00

Extra T-shirts if available

$  6.00 $  6.00 $  6.00

Additional Donation (optional)

 

 


TOTAL


TOTAL

 


  Check # Check #    

 

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, Papago Park, SHeZoni Run, 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)__________________________________________