Team In Training 5k

The Leukemia & Lymphoma Society's
Team In Training
5K MEMORIAL RUN the 2nd
1 Mile Walk/Run
August 1, 2009 7:30am
Beach Park
Pre-registration $20 Entry Fee
$25 Procrastinators' Entry fee after dates below
Awards 3 deep in 10 year age categories, male and female, and overall in 5K
Completion awards to all 1 milers
*Help raise funds to find a cure for blood related cancers and improve the quality of life of patients and their families.
*Run in memory of those who have lost their fight against leukemia, lymphoma, or myeloma.
Packet Pick-up/Race Day Registration 6:30-7:00am
Team In Training 5K MEMORIAL RUN
Please make checks payable to: The Leukemia & Lymphoma Society
Mail completed entry form to:					For more information call:
Team In Training Memorial Run					Bruce Wearda (661)665-9503
11212 Mirrored Image Ct					Register online: www.bakersfieldtrackclub.com
Bakersfield, CA 93311					Navigate to the calendar
Postmarked before July 24, 2009.					Register online up to July 29, 2009.
FIRST NAME:					LAST NAME:
ADDRESS:					CITY, STATE, ZIP:
PHONE:			SEX: M F		DOB:		AGE ON RACE DAY:
EMAIL: RACE: 5K 1 mi
WAIVER: ALL ENTRANTS MUST SIGN. IF ENTRANT IS UNDER 18 YEARS OF AGE, A PARENT OR GUARDIAN MUST SIGN. In consideration of your acceptance of this entry, I hearby for myself, my executors, and administrators, waive any and all rights and claims for damages I may have against the sponsors, coordinating groups, and any individuals associated with the event. I acknowledge none of the above are responsible for the loss of personal items nor any form or aggravation in connection with the said event. I have been warned I must be in good health to participate in this event. In filling out this form, I acknowledge I have read and fully understand my own ability and do accept the restrictions.
SIGNATURE:							DATE: