St. Patty's Day 8K 

& 1 Mile Fun Run/Walk

 

Free Kids Leprechaun Dash

 

      March 15, 2009 ~ Kiwanis Park ~ Tempe, AZ 

      (Sister City Garden area on All American Way)

  Registration Starts 6:30 a.m.  Race starts at 7:30 a.m.

 

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

                                       WITH CHECK TO:

                          Arizona RunningEvents Co. (ARC)

                                      5290 W. Melinda Ln.

                                      Glendale, AZ 85308

 

 

This event is designated the Arizona USATF State 8K Championship.

Special USATF medals will be awarded

Proceeds will benefit elementary school running groups.


Last Name:  
First Name:

Address:   
Apt./Suite: 

City:            State: Zip:

Phone:        Date of Birth:

Age on Race Day: Email Address:

Gender: male    female

 

Event:  8K Run 1 Mile Fun Run/Walk 

 

Adult T-Shirt Size: S  M  L  XL  

 

PRICING

Category

Early Entry
(postmarked by 03/06/09)

Entry

(postmarked after 03/06/09)


Day-Of
 

Fill in Amount

8K Run

$20.00

 $25.00

$25.00

1-Mile Fun Run

$10.00

 $15.00

$15.00

Optional Donation to Kids running  groups      
Kids Leprechaun Dash is Free             Cost for T-shirt is        $6.00             


 

  


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 Tempe, 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)__________________________________________