Mail In Application

5K
Hillandale Park, Harrisonburg, Virginia
Saturday March 8, 2008

Saturday March 8, 2008 @ 9:15 a.m. (Registration Cutoff.)

-9:30 Trail Run Starts!

Registration: Early Registration begins on January 1, 2008 and ends on Feb 29, 2008. Registration forms and fees can be dropped off or mailed to the: Harrisonburg Department of Parks and Recreation: 305 South Dogwood Drive: Harrisonburg, VA 22801. Erik Dart or Tim Moubray. (540) 433-2474

MAKE CHECKS PAYABLE TO: Shenandoah Valley High Rollers. 

**Registration is not complete until payment is received**

Entry Fee: Early Registration ends on Feb 29, 2008; Fee of $10

        Late Registration/ Race Day Registration:  $15

* There will be bagels, fruit, and water before and after the race.

* The first 50 participants receive a t-shirt.

Registration Form

Name/Group:___________________________________  Sex:_________________ Age :__________

Address:__________________________________  City:_____________ State:______ Zip:________

Home Phone: ( ____ ) ________-_________  Work Phone:  ( ____ ) ______-________

Email:_______________________________  T-shirt Size:______  

Waiver:  I hereby release the City of Harrisonburg, its employees, and volunteers, from all claims for damages arising from any accidents or injury which are caused by or arise from the participation of the above name applicant during any program or in any facility or at any location where this program is held.

Signature:___________________________________ Date:___________________________________

                  (Parents Signature required if under 18)