Please fill-out, print and sign the form. Make check
Payable and Mail to:
Arizona RunningEvents Co. (ARC)
5290 W. Melinda Ln.
~ Glendale, AZ 85308
Last Name:
First Name:
Address:
City:
State:
Zip:
Phone:
Date of Birth:
Age on Race Day:
Email Address:
Gender:
Me
F
Event
Through 12/20/08
After 12/20/08
5K Run/Walk
$15
$20
1-Mile Fun Run
$12
$15
Entry Fee (from table above):
Event:
5K Run/Walk
1-Mile Fun Run/Walk
T-shirt Size:
S
M
L
XL
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 Arizona Running Events Co., USAT&F, 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.
