21st Annual Virginia Highland Summerfest 5K Road Race
June 7, 2008
Virginia Highlands, Atlanta, GA
5K Walk/Run 8:00 a.m. - Tot Trot 8:45 a.m.
OFFICIAL ENTRY FORM – PLEASE PRINT
Please
Print All Requested Information:
Name________________________________________________
Sex: M
F
Age as of 6/07____________
Address______________________________________
City_____________________ State______
Zip Code_____________
Phone____________________ Email______________________________
Event: (circle) 5K Run-------5K Walk-------Tot Trot
Shirt size: (circle one): S ---- M ---- L ----- XL ----- Youth S ------- Youth M
| Cost:
$19 by 5/30/08. Late registration will be $24. Tot Trot: $8. NO RACE DAY REGISTRATION!! Race is Rain or Shine. No Refunds. All registered participants receive 100% cotton t-shirt. |
| Waiver: In consideration of acceptance of this entry, I waive any and all claims for myself and my heirs against the officials and sponsors of the 2008 Virginia Highland Summerfest 5K Road Race or Tot Trot for any injury or illness which may result from participation. |
Signature ______________________________________________
Parent/Guardian if under 18 _________________________________
Checks payable to:
Virginia Highland Summerfest 2008
Mailed
to:
Ed Williams - Race Director
978 Scott Circle
Decatur, GA 30033