Saturday, September 22, 2007 -- Scottdale, PA
Scottdale Fall Festival 10K/5K
Make checks payable to: Scottdale Fall festival - Mail form and check to:
Scottdale Fall Festival, 266 Pittsburgh Street, Scottdale, PA 15683
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NAME:_______________________________________________________ ____MALE
ADDRESS:____________________________________________________ ____FEMALE
____________________________________________________ ____AGE
(on race day)
____________________________________________________
PHONE: ____________________________________________________
Event: 10K___ 5K Run___ 5K Walk___ Shirt Size: ___MED ___LG ___XLG
In consideration of your acceptance of my application
for entrance in the Scottdale Fall Festival 10K Run / 5K Run / 5K Walk, I
for myself and anyone entitled to act on my behalf, waive and release the Scottdale Fall Festival, all sponsors, their representatives, and successors from all claims or liabilities of any kind arising out of my participation in this event.
Signature of Entrant:______________________________________________ (REQUIRED) parent or guardian signature required for those under 18