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Team Discount and Registration

August 11 2012 at 3:47 PM
 


Response to Terrific 5K/10K/1mile - Mercy Heart Spur On!

 

Cutoff for signing up for the LGRAW team, is 8/28.
Online registration doesn't support it well, so either print it off and mail it or get it to either Stacy 'Cherry' or yours truly. We both plan to be at the clubhouse Sunday 8/12.

Checks for $16 payable to Mercy Heart.

Heres the form you can print out
Mail registration to:

Mercy Heart - Spur On 5K Fun Run
PO Box 163783
Fort Worth, TX 76161
Registration will not be accepted
without payment enclosed


(SAMPLE REGISTRATION FORM BELOW)
Complete this form and sign the waiver.
(PLEASE PRINT)

10K - run/walk - Timed
10K - run/walk - UNTimed
5K - run/walk - Timed
5K - run/walk - UNTimed
1K Barnyard Stomp - run/walk


Date of Birth (mm/dd/yy) ___________________________ Age _______
Gender M F
Last Name _________________________________________________________________________________
First Name _______________________________________________________________________________
Address ________________________________________________________________________________
City _____________________________________________ State TX Zip 7___________
Phone __________________________________________________________________________________
Email ___________________________________________________________________________________
(Email used for sending race information only)

TEAM INFORMATION (Minimum 5 Per Team)

Team Name: LGRAW
Must register individually and turn in registration forms at the same time with one check.

T-Shirt Size (Circle one):

Youth: L Adult: S M L XL XXL


VOLUNTEERS
I am walking and would like more information on volunteering before and after the walk.
I am unable to walk but would like to be a volunteer.
I am unable to walk but enclosed is my donation of $___________________ (payable to Mercy Heart)
Please send me information about Mercy Heart.


WAIVER:I know that running or walking a road race is a potentially hazardous event and I should not enter and run or walk unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run or walk. I assume all risks associated with running or walking in this event including, but not limited to falls, contact with other participants, the effects of weather, including high heat and /or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release Mercy Heart, Glenview Baptist Church, Spur On Run For the Kids Fun Run, RunTime Racing Services, and all sponsors their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise our a negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use any photographs, motion pictures, records or any other record of this event for any legitimate purpose. Race will be held regardless of weather conditions. Registration is final, no refunds."

Signature Required
Signature of entrant (Guardian if under 18) and date

____________________________________________________________________/______________
Date




Note that due to construction, the New Start/Finish location is at Haltom High School
(5501 N. Haltom Road) - ½ mile north of former race location.
I wonder if that takes the hill out of the course too?

 
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