Sunday, September 19, 2010 -- Morgantown, WV
Toys for Tots 5K Run & Walk ENTRY FORM
Sponsored by Usborne Books and More
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POSTPONED! ... This event is postponed until further notice.
Mail to:
Toys for Tot Trot
Box 280, 364 Patteson Drive
Morgantown, WV 26505
Make checks payable to: Toys for Tots
Name______________________________________________________________________________
Address___________________________________________________________________________
City/St/Zip_______________________________________________________________________
Age on Race Day________ Date of Birth ______/_____/_______________
Male____ Female______ // Choose: Run_____ OR Walk_____ OR Kids 1/2 mile fun run ____
T-shirt (choose one): Adult: S___ M___ L___ XLg___ // Child: M____ L____
Signature__________________________________________________________________________
(Entrants under 18 years of age need a parent or guardian signature.)
WAIVER: In consideration of acceptance this entry toy the Toys for Tots Trot ,I waive all claims for myself, my heirs and assigns against the Toys for Tots Trot organizers, race sponsors, and promoters for injury or illness which may result from my participation. I attest and verify that I have full knowledge of the risk involved in this event, that I am physically fit and sufficiently trained to participate. I have read the above statement, I understand it and my signature confirms its full acceptance.
RACE CONTACT: Lee Ann Boylstein (phone) 724-518-4567