Saturday, October 27, 2007 -- Morgantown, WV / Caperton Rail Trail, Star City
Alpha Phi Race for Your Heart 10K/5K-MAGP Endurance #9
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REGISTRATION FEE: $15.00 if post marked by Monday, October 8, 2007, $20.00 after October 8, 2007 and Race Day. Race Day registration will be from 8:00 am to 9:15 am - all races start at 9:30 am.
CHECKS PAYABLE TO: Alpha Phi
MAIL TO: Alpha Phi Race c/o Alpha Phi Fraternity, 261 Willey Street, Morgantown, WV 26505
10K RUN __ 5K RUN __ 5K WALK __ Male: __ Female: __ Name:______________________________________________________________ Address:___________________________________________________________ ___________________________________________________________________ Phone:_____________________________________________________________ Age on October 27, 2007:__________ Birth Date:_____________________ T-Shirt Size (circle one): S M L XL In consideration of your acceptance of my application in the Alpha Phi Race for Your Heart 10K & 5K Run and 5 K Walk, I, for myself and everyone entitled to act on my behalf, waive and release the Beta Iota Chapter of Alpha Phi Fraternity, Alpha Phi International, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. Signature of Entrant (Required) X_____________________________ Date:___________ Signature of Guardian (if under 18) X_____________________________ Date:___________