Team In Training

5K MEMORIAL RUN the 2nd

1 Mile Walk/Run

August 1, 2009 7:30am

Beach Park

Pre-registration $20 Entry Fee

$25 Procrastinators' Entry fee after dates below

Awards 3 deep in 10 year age categories, male and female, and overall in 5K

Completion awards to all 1 milers

*Help raise funds to find a cure for blood related cancers and improve the quality of life of patients and their families.

*Run in memory of those who have lost their fight against leukemia, lymphoma, or myeloma.

Packet Pick-up/Race Day Registration 6:30-7:00am

Team In Training 5K MEMORIAL RUN

Please make checks payable to: The Leukemia & Lymphoma Society

Mail completed entry form to:

For more information call:

Team In Training Memorial Run

Bruce Wearda (661)665-9503

11212 Mirrored Image Ct

Bakersfield, CA 93311

Navigate to the calendar

Postmarked before July 24, 2009.

FIRST NAME:

LAST NAME:

ADDRESS:

CITY, STATE, ZIP:

PHONE:

SEX: M F

DOB:

AGE ON RACE DAY:

EMAIL: RACE: 5K 1 mi

WAIVER: ALL ENTRANTS MUST SIGN. IF ENTRANT IS UNDER 18 YEARS OF AGE, A PARENT OR GUARDIAN MUST SIGN. In consideration of your acceptance of this entry, I hearby for myself, my executors, and administrators, waive any and all rights and claims for damages I may have against the sponsors, coordinating groups, and any individuals associated with the event. I acknowledge none of the above are responsible for the loss of personal items nor any form or aggravation in connection with the said event. I have been warned I must be in good health to participate in this event. In filling out this form, I acknowledge I have read and fully understand my own ability and do accept the restrictions.

SIGNATURE:

DATE: