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

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)__________________________________________