Saturday, October 30, 2010 -- Morgantown, WV / Marilla Center
Toys for Tots 5K Run & Walk
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CONTACT: Lee Ann Boylstein (phone) 724-518-4567
- $10.00 // All Applications received prior to or on October 15
- $15.00 // Applications after October 15, 2010
- All fees are non-refundable
Make checks payable to: Toys for Tots
Mail to: Toys for Tots Trot, 364 Patteson Drive, Box 280, Morgantown, WV 26505
Name:____________________________________________________________________________
Phone: (__________)_____________________
Address:__________________________________________________________________________
City/State/Zip:___________________________________________________________________
Gender: M____ F____ // Date of Birth: _____/_____/_________ Age on 10/30/10:______
E-mail:_____________________________________________________
Choose the event you will participate in: 5K Run___ // 5K Walk___ // Children's Fun Run___
T-Shirt Size: Youth Large______Adult Small____ Medium____ Large____ XL____
Release Statement: In consideration of acceptance of this entry, I waive any and all claims for damages which may result from my participation, or from the participation of the minor that I am signing for in the 2010 Toys forf Tots 5K Trot. Any and all claims are waived for myself, heirs, and assigns. The sponsors and their agents or representatives will assume no obligation for injuries or damages that I may incur.
Signature of Participant:____________________________________________________________
Date:___________________________
Signature of Parent/Guardian:________________________________________________________
Date:___________________________