Sunday, August 1, 1999 -- Morgantown
Gene's Run For Special Olympics

Please make checks payable to: Monongalia County Special Olympics

Mail entry forms to:
Gene's Run for Special Olympics
P.O. Box 41
Morgantown, WV 26505

Click here to return to the race Details Page

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Run_____ Grand Prix Entrant_____ Walk_____

NAME____________________________________SEX_______AGE___________


ADDRESS_________________________________________________________


CITY___________________________________STATE______ZIP___________


TELEPHONE______________________________SHIRT SIZE:  L     XL

Age as of August 1, 1999_______________

In return for permission by the Monongalia County Special Olympics to participate in Gene's 4 mile run or walk, I release the program, its members, volunteers, co-sponsors, and other participants from any claim for injury or loss that occurs to me or my child/ward or anyone on his or her behalf. I therefore attest and verify that I am physically fit and have sufficiently trained for this event.

_______________________________________________________________
SIGNATURE (PARENT OR GUARDIAN MUST SIGN IF UNDER 18 YRS OLD)