The Cesar E. Chavez Foundation

                                               Proudly Presents the 2nd Annual

                                Educating the Heart

                    5K Run/Walk & 1 Mile Fun Run/Walk 

   October 11, 2008 ~  Registration Starts @ 7:00 a.m.

Races Start

5K Run/Walk 8:20 a.m. ~ 1 Mile ~ 8:00

Location

Cesar Chavez Park

7858 South 35th Avenue ~ Phoenix, Arizona

 

Free Cinch Backpacks for the First 250 Registrations

 

Mail in Registration Form

After filling in the fields below, please print and mail registration form

with CHECK, made payable to Cesar E. Chavez Foundation

Mail to: Arizona RunningEvents Co. (ARC)
1963 E. Kentucky Lane. ~ Tempe, AZ 85284

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/ Walk  1-Mile Fun Run

 

 

PRICING

Category

Early Entry

by 09/26/08

Registration

after 09/26/08

Fill in Amount

Individual Child (12 and under)

$05.00

$05.00

Individual Teen (13-17)

$07.00

$07.00

 Individual Adult (18 & Over) $10.00 $12.00  
 Teams of 10+ each pay         $7.00 $9.00  
 Team members must fill out individual entry forms and mailed in all together
 Family (Up to 4) $25.00 $30.00  
 I can not participate but wish to contribute   

 


TOTAL


  Check #  

              Additional Family Members

            

          1._______________________________________________________________________

                   Last Name                                                     First Name                                                       Age         Sex        5K       1 Mile

 

          2._______________________________________________________________________

                    Last Name                                                    First Name                                                       Age       Sex         5K        1 Mile

 

          3.,_______________________________________________________________________

                     Last Name                                                  First Name                                                        Age      Sex         5K        1 Mile

    

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.

 

WAIVER:  In consideration of accepting this entry, I the undersigned, intending to be legally bound hereby, for myself my heirs, executors, and administrators waive and release any and all rights and claims for damages I may have against the Cesar E. Chavez Foundation, Arizona RunningEvents Co., City of Phoenix or anyone associated with this event, their representatives, successors and assigns for any and all injuries suffered by me in said event.  I will additionally permit the free use of my name and pictures in broadcasts, telecasts, newspapers, etc.

 

Signature:____________________________________________________________Date:________________
 

Parents signature (if under 18 years of age) & DATE)__________________________________________