www.runwalkjog.com
Run For Matt
    

Date
August 5, 2006

 

Time
8 am

Location
Rigby Lake

Distances
5K Walk, Run
10K Run

             

Online Registration Ends At Noon On July 29, 2006

                           

Matt Pond was recently diagnosed with a cancerous brain tumor. Please come and support him & his family with the rising cost of medical treatment, by running or walking this race!

            

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

                     
Registration Fee (Non-refundable): Entry Fee: $25.00 pre-registration (closes July 29) Same day registration 6:45-7:45 am
                
Entry fee includes: Race T-shirt, entry for door prizes, overall awards (Top 3), Age-group awards (Top 3), refreshments, water stations. Same day registration $25.00- (race t-shirt not guaranteed) Age groups: 14 & under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 & over

Please notify garydsmith@runwalkjog.com if you experience problems with online registration.  There are no additional fees for registering for this event online.

                                  
Run For Matt
      
             Last Name:


             First Name:


                  Address:


                        City:


                       State:


                           Zip:


                     Gender:


               Birth Date:


  Age On Event Day:


                       Phone:


                        Email:


         Event Distance:


                   Shirt Size:

LIABILITY WAIVER:

If the waiver is not signed the registration will not be accepted

If the waiver is not signed the registration form will be returned I know that participating in a trail 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 for Matt, City of Rigby, 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..

  
                                          Waiver:


                                      Signature:


Parent Or Guardian If Under 18:



Online Registration Closed

Or Mail entry form & fee to:

PERSONAL BEST Performance
808 Saturn Avenue
Idaho Falls, ID 83402

                           
                   
             
        
        

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