R4R registration 2013
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10K, 5K runs and 2K walk Beach Park Oak and 21st Saturday, September 21, 2013 Registration: 7:00 to 7:45 a.m. Race begins at 8:00 a.m. 9th Annual Walk/Run For Recovery “One Step at a Time” Entry Fee: $25.00 general registration if postmarked by September 13, 2013 $10.00 student (K-12) registration Teams of Five(5) - $100.00 (no later than 9-13-13) Race day: general registration entry fee $30.00 Please send check or money order and signed entry form to: Run for Recovery Attn: Javier Moreno P.O. BOX 558 Bakersfield, CA 93302 COMPLETE ALL INFORMATION BELOW - PLEASE PRINT LAST NAME FIRST NAME SEX DATE OF BIRTH ADDRESS PHONE NUMBER CITY STATE ZIP BUSINESS PHONE EMAIL ADDRESS RACE AGE DIVISION 2K walk does not have age divisions and there are no awards. 14 & Under 30 - 39 60 - Plus T-SHIRT SIZE Youth Large 5K 15 - 19 40 – 49 Non-Runner T-Shirt only Small X-Large 10K 20-29 50 - 59 Medium XX-Large WAIVER – ALL ENTRANTS MUST READ AND SIGN In consideration of this entry acceptance, I hereby, for myself, my heirs, executors & administrators, waive any and all right for damages I may have against the County of Kern, Bakersfield City Recreation and Parks; or any organization/individual associated with above for any and all injuries sustained by me in this event. I will additionally permit free use of my name and pictures and broadcasts, telecasts, etc. I further attest and verify that I am physically fit and have sufficiently trained for competition, and a licensed medical doctor has verified my physical condition. SIGNATURE DATE: GUARDIAN IF ENTRANT IS UNDER 18 YEARS OLD: ENTRY FORM Follow us on facebook or twier BakersfieldRunforRecovery For additional information, please call (661) 861-9967 or email: [email protected]
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BakersfieldRunforRecovery Entry Form
Transcript of R4R registration 2013
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10K, 5K runs and 2K walk
Beach Park Oak and 21st
Saturday, September 21, 2013 Registration: 7:00 to 7:45 a.m.
Race begins at 8:00 a.m.
9th Annual Walk/Run For Recovery
“One Step at a Time”
Entry Fee: $25.00 general registration if postmarked by September 13, 2013$10.00 student (K-12) registration
Teams of Five(5) - $100.00 (no later than 9-13-13)Race day: general registration entry fee $30.00
Please send check or money order and signed entry form to: Run for RecoveryAttn: Javier Moreno
P.O. BOX 558 Bakersfield, CA 93302
COMPLETE ALL INFORMATION BELOW - PLEASE PRINT
LAST NAME FIRST NAME SEX DATE OF BIRTH ADDRESS PHONE NUMBER CITY STATE ZIP BUSINESS PHONE
EMAIL ADDRESS RACE AGE DIVISION
2K walk does not have age divisions and there are no awards. 14 & Under 30 - 39 60 - Plus T-SHIRT SIZE Youth Large 5K 15 - 19 40 – 49 Non-Runner T-Shirt only Small X-Large 10K 20-29 50 - 59 Medium XX-Large
WAIVER – ALL ENTRANTS MUST READ AND SIGN In consideration of this entry acceptance, I hereby, for myself, my heirs, executors & administrators, waive any and all right for damages I may have against the County of Kern, Bakersfield City Recreation and Parks; or any organization/individual associated with above for any and all injuries sustained by me in this event. I will additionally permit free use of my name and pictures and broadcasts, telecasts, etc. I further attest and verify that I am physically fit and have sufficiently trained for competition, and a licensed medical doctor has verified my physical condition. SIGNATURE DATE: GUARDIAN IF ENTRANT IS UNDER 18 YEARS OLD:
ENTRY FORM
Follow us onfacebook or twitter
BakersfieldRunforRecovery
For additional information, please call (661) 861-9967 or email: [email protected]
