The Candler Bark K9 Fun RunK9
Saturday, April 7, 2007 9:00 a.m.
Entry form: Check payable to Candler Park Running Club
Benefits the Candler Park Neighborhood Organization
Send pre-registration:
Mail to: Candler Park Running Club
1445 Benning Pl
Atlanta, Ga 30307
EVENT: [ ] 1 mile run/walk [ ] 2 mile run [ ] t-shirt only
T-SHIRT SIZE: _____ S_____ M _____ L _____XL ____XXL
Owner's Name ____________________________________________
Street Address____________________________________________
City/State/Zip _____________________________________________
Email address ____________________________________________
Phone__________________ Sex ___________
Dog Name__________________ Dog Age:__________ Breed:________
Current rabies vaccination no.____________________________
| Waiver (Entry not valid unless signed.) "In consideration of acceptance of this entry, I, the undersigned do waive and release any and all claims, causes of action and any liability whatsoever, for myself and my heirs, against the Candler Park Pool Association, The Candler Park neighborhood organization, Road Race Services, any sponsors and all officials of this race for any injury, illness or other damages of any kind which may arise out of or result from my participation in the 2007 Candler Bark K9 Fun Run. I know that running a road race with my dog is a potentially hazardous activity. I further state that my dog and I are in proper physical condition to participate in this event. Warning: I understand that high heat and humidity can be extremely dangerous. I will not overexert myself or my dog(s) under these conditions. |
Signature of Participant _____________________________
Parent/Guardian if minor _____________________________