Friendship City 5K Official Entry Form

Name: _______________________________________

Address:______________________________________

City, State, Zip:_________________________________

Phone:________________________________________

Sex:_____________Age on Race Day:____________

email:__________________________________________________________________________________

Race Division (check one only):

5K Run _________ 5K Walk_________

Entry Fee: (check only one)

________$15 Pre-registration (Includes T-Shirt)

________$20 Race Day (Includes T-Shirt while supplies last)

________$35 Family Pre-Registration (must mail in all applications together)

________$45 Family Race-Day Registration (must be submitted together)

T-Shirt size: (circle one if applicable) S, M, L, XL

Make checks payable to: "City of Erlanger"
Send to: Greg McCormick, 10119 Crosier Lane, Cincinnati, OH 45242
(Pre-registrations should be postmarked by August 18, 2008)

WAIVER: In consideration of the acceptance of my entry, I hereby waive on behalf of my heirs, executors, and assigns, all claims of any nature arising from my participation in the Friendship City 5K and do hereby release the City of Erlanger, Greg McCormick and all sponsors, workers, officials, and volunteers from any claim whatsoever arising from my participation in this event. I agree to abide by all the rules for participation and acknowledge that the Race Committee may refuse or return my entry at its discretion. I understand that the risks for such a run and have trained adequately in preparation. I have noted any relevant medical conditions on the back of this form. I permit the use of my name and picture participating in this event for publicity.

ENTRY SIGNATURE:_____________________________________________Date: __________________

Parent's Signature (if under 18): ____________________________________Date: ___________________

Emergency Contact: __________________________________________Phone________________________

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