Sunday, March 21, 2010 -- Grafton, WV / Grafton High School, 400 Riverside Drive, Grafton, WV 26354
Grafton 5-Mile Run, 2-Mile Walk, Kids Run ENTRY FORM
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- $15.00 // 5 Mile Run & 2 Mile Walk if registered by March 14, 2010
- $18.00 // after March 14, 2010
- $3.00 // Kids Run entry fee without a T-shirt
T-shirts will be guaranteed to the first 100 pre-registered (adult sizes - short sleeved), please pre-register so that you will be guaranteed a shirt. If shirts run out on race day, the race crew will reduce the cost of the entry.
Payable to: GHS // Mail to: Grafton High School c/o Jackie Hunt, 400 Riverside Drive Grafton, WV 26354
NAME:_____________________________________________________________________________ STREET:___________________________________________________________________________ CITY:____________________________________________STATE:________ZIP:_______________ PHONE:(__________) _______________-______________________ EMAIL:___________________________________________________ EVENT: 5 Mile Run:___ 2 Mile Walk:___ Kids Run:___ // MALE:____ or FEMALE:____ AGE:___ (On March 21, 2010) // SHIRTS SIZE (adult): S M L XL
WAIVER: In consideration of the acceptance of this entry, l waive for myself, my heirs, and assigns, all claims for damages which I might have against the race, its sponsors, or any other organization, business, or individual as a result of any and all injuries which might be received during the contest. l also release any photos that may involve myself.
__________________________________________________________________________________ SIGNATURE --- (Parent or Guardian, if participant under 18 years old)