Eighth Annual

STEPS    TO   SAFETY

5K WALK/RUN  

 

Family Registration

Sunday, October 12, 2008

 

All participants meet at White Course Drive parking lot, near  the Penn State campus entrance on North Atherton Street.  The race is off-road, on the PSU golf course jogging path.  Pre-registration will be held Saturday, October 11, 1:00 – 3:00 pm at the Penn State Federal Credit Union Building, 1937 N. Atherton St., State College.  Race-day registration begins at 12:00 PM.  Event starts at 1:00 PM

Proceeds support the

Centre County Women 's Resource Center

  

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 $3.00 will be added to the registration fee for each family. Non Family Teams will be charged $1.00 per participant.

Groups who are related may register as a family.

 

Click Here For Individual Registration Or Complete Form Below For Family Or Group.

If received by October 3, 2008
$35 family rate
$12 per person team members (Non Family)

After October 3 (preregistration Sat., Oct 11,
or race day registration):
$40 family rate
No Team Registration After October 3, 2008

                                   
                            
Steps To Safety Family
   
 Family Name:


Member 1:


T Shirt Size:


Member 2:


T Shirt Size:


Member 3:


T Shirt Size:


Member 4:


T Shirt Size:


Member 5:


T Shirt Size:


Member 6:


T Shirt Size:


Member 7:


T Shirt Size:


Member 8:


T Shirt Size:


Family Captain Phone:


Family Captain Email:

Please note: To participate in the race, each team or family member must provide a signed release agreeing to the terms of the following conditions.

*EACH participant must provide a signature to certify the following statement (Parent must sign if runner is under 18 years old): I understand that my participation in the Steps To Safety 5K walk/run is completely voluntary, and I release the Centre County Women’s Resource Center and its officers, directors, employees, and agents from any and all liability for injury to me which may result from my participation.

To Print Form Click Here

Waiver: I understand that the release must be signed by each Family or Team member and returned prior to participating in the Steps to Safety 5K Event.  Print out and bring the signed waiver to pre-registration or to the race.  You  must have the form completed and turned in prior to event start.


   

 

 

 

Registration Provided By www.runwalkjog.com   Privacy And Security Policy

   

Proceeds support the

Centre County Women 's Resource Center

Additional Information: Online, at www.ccwrc.org