Madison
Christmas Rush Classic
December 8, 2007
Madison, GA
5K 9:00 a.m - 8K 10:00 a.m. - 1 Mile 11:00 a.m.
OFFICIAL ENTRY FORM – PLEASE PRINT
Please
Print All Requested Information:
Name_________________________________________________
Age __________ Sex: M F
Address___________________________________________ Telephone___________________
City___________________________________ State______ Zip Code___________
Shirt
size: (circle) Adult:
S M
L XL
XXL Youth M Sweat Shirt (*$25) No Shirt ($10)
*Sweat
shirt available by preregistration only - circle sweat shirt & size, enclose
$20.
Event: (circle) 8K Run - 5K Run/Walk - Fun Run or Walk
Cost:
$20 by 12/01/07. Late and race day registration will be $25. Sweat shirt option - $25 (preregistration only) No Shirt option - $10 (anytime) |
Waiver: In consideration of the foregoing, I for myself, my heirs, executors, administrators, representatives, successors and assigns wave and release any and all rights and claims of action I may have against the 2007 Christmas Rush Classic Running and Walking Events, the sponsors, their affiliates, agents, employees, directors, successors and assigns. I attest and verify that I am physically fit and have sufficiently trained for these events. Further, I hereby grant full permission to any and all of the forgoing to use any photographs or any other record of this event for any legitimate purpose including commercial advertising. |
Signature ______________________________________________
Parent/Guardian if under 18 _________________________________
Mail
registration form and check payable to:
Christmas Rush Classic
P.O. Box 793
Madison, GA 30650