www.runwalkjog.com
    

Date
July 4, 2006

 

Time
7 am

 

RUN

 By

 Dawn's Early Light

 

Location
Start/Finish
Sunnyside & 25th

Distances
5K 10K

Online Registration

            
           

Internet Info: www.pb-performance.com
Info Phone: (208) 521-2243  Fax : (208) 524-2427

                     
Registration Fee (Non-refundable): $20 before 5 pm June 15th $25 after 5 pm June 15th
                
Participants may pick up their registration packets/bags between 6 and 6:45 am on race day. Race day registration will be from 6 to 6:45 am on race day. NO registrations will be taken after 6:45 am!
                     
                         

                           

Run by Dawn’s Early Light                                                                      Please print! Illegible forms cannot be processed

 

Name: __________________________________________________________________________   

 

Address: ________________________________________________________________________

 

City: _______________________________________ State : __________ Zip: _________________

 

Gender: ___ Birth date: ____/____/____  Age on Run Day: _______ Phone: (_____)____________

 

Event Distance              5K                    10K

 

Shirt Size:  S  M  L  XL

 

E-mail address: ___________________________________________________________________

 

LIABILITY WAIVER MUST BE SIGNED BEFORE MAILING:

If the waiver is not signed the registration form will be returned

I know that participating in a running event is a potentially hazardous activity and that I should not enter and complete unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the event. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants and wildlife, the effects of the weather, including cold and/or rain or snow, traffic and the conditions of the road and path, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the organizers of the Run by Dawn’s Early Light, City of Ammon, City of Idaho Falls  State of Idaho,  PERSONAL BEST Performance,  and all other sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver. Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes.

 

 

Signature ______________________________________________________  Date: ____________________________

                                                                                                                                      

(parent or guardian if under 18): _____________________________________ Date: ____________________________

 

                   

This is a 2006 La Sportiva - GoLite Teton Racing Series event

             

We would like to thank the TRIATHLON CLUB of Eastern Idaho as a sponsoring organization

        
        

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