Geranium
Festival Road Race
May 14, 2005
McDonough, GA
5K & 10K 8:00 a.m.
OFFICIAL ENTRY FORM – PLEASE PRINT
Please Print All Requested Information:
Choose One: 5K or 10K
___________________________________________________________________________________________
Name Phone
___________________________________________________________________________________________
Address
City
State
ZIP
Male ____ Female ____ Age on race day________
Circle One:
Shirt
size: S M
L XL
XXL
(if size not specified, XL will be ordered.)
| Cost: $20 before race day - $25 day of race |
| Waiver:
In consideration of acceptance of this entry, I waive any and all claims
for myself and my heirs against officials and sponsors of the 2005 Geranium Festival 5K and 10K Road Race for the injury or illness which may result directly or indirectly from my participation. I further state that I am in proper condition to participate in this event.
|
Signature ______________________________________________
Parent/Guardian if under 18 _________________________________
Make
all Checks Payable to ELCA Booster Club
Mail
to:
ELCA Booster Club
2400 Hwy 42 North
McDonough GA 30253