Individual Registration

6th Annual Michigan Brewing Company 5K Beer Run
 

Team Registration  Individual Registration
 

   Online Registration Temporarily Closed.
 

  

DATE/TIME

Saturday, June 16, 2012 at 7:00 pm, Father’s Day Weekend
Packet Pick Up & Final Registration Fri. June 15th from 5-8pm at MBC in Webberville Packet Pick Up day of race begins at 4:30pm.
There will be NO day of race Registration.  Registration will close at midnight on June 14, 2012.
   

LOCATION

 Michigan Brewing Company, 1093 Highview Drive, Webberville, MI 48892
   
ENTRY FEE $25 through June 15 – Includes t-shirt, goodie bag, 1 free beverage & prizes.
   
BENEFICIARY Supporting Mens Health through Sparrow Foundation
   
INFORMATION Information can be obtained at the Pub at the Michigan Brewing Company, or at
http://www.runningfoundation.com/MI_BrewingCo_5kRun.html 
   
SPONSORS Michigan Brewing Company, Playmakers, Team Trivia, Sysco Foods, J America, Aldi,
Spartan Barricade, Hoard Building & Roofing, Power’s Distributing, Century 21 Looking Glass,
Land & Sea Packaging, edible WOW, AdVantage Promotional Services, Fathead.com., Real Wood Smoked Barbecue, Merindorf Meats, Great Lakes Interiors & Design, MBC Lansing.
   
       

Please Enter Participants Information and click below to proceed to a secure credit card processing page. To register more than one participant select the "Add Additional Registration" option after submitting each registration or just click on the "Back Button" in Your Browser to return to this page.

Please notify garydsmith@runwalkjog.com if you experience problems with online registration. For online registration a processing fee of $1.75 will be added to the registration fee.
               
The Below Form Is For Individual Registration.  For Team Registration Click Here.
                 
Michigan Brewing Company 5K Beer Run

                       Name:


                   Address:


                          City:


                        State:


                            Zip:


                       Phone:


                     E-Mail:


  Age On Race Day:


                    Gender:


             T-Shirt Size:

Where did you hear about event:


Waiver of Participation

In consideration of my entry, I intend to be legally bound for my heirs, my administrators, my executors, and myself, waive, release and forever discharge any and all rights and claims which I may hereafter accrue to the sponsors and officials of the race described in this entry form, and the Village of Webberville and Ingham County or their respective officers, agents, representatives, successors and/or assigns, while participating in this event, traveling to or returning from this event.


          Agree To Waiver:


    Participant Signature:

    Signature above must be signed by parent or guardian if under 18

 

   Online Registration Temporarily Closed.
   
Online Payments
   
          
   

Acceptance Mark
  

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