Founder's Day 5K Registration Form

Arizona RunningEvents Co.

Proudly Presents the 3rd Annual

Frosty's Run

10 Mile Run - 2 Mile Fun Run/Walk

& Kids Dash

December 21, 2008

8:00 a.m.

Reach 11 Park - Tatum Road South of the 101

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

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

WITH CHECK made payable to

Arizona RunningEvents Co. (ARC)

Last Name:
First Name:

Address:
Apt./Suite:

City: State: Zip:

Phone: Date of Birth:

Age on Race Day: Email Address:

Gender: male female

Event: 10 Mile Run2 Mile Fun Run/Walk Kids Dash (Free no T-shirt)

PRICING

Category	Entry Fee thru 12/11/2007	Entry Fee After 12/11/2007	Fill in Amount
10 Mile	$30.00	$35.00
2 Mile Fun Run/Walk	$10.00	$15.00
Extra T-shirts if available	$ 6.00	$ 6.00
Kids Dash (No T-shirt)	Free	Free
	TOTAL
	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 Phoenix, 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)__________________________________________