PRESENTS THE 3rd
ANNUAL
JINGLE BELL
BENEFITING THE
SALVATION ARMY
Register online
at www.thedriven.net
|
Check on box
below:
□ 5K road
race Entry fee $25
□ 1 mile walk Entry fee $25
□ Kids fun run Free
Shirt is included to first 100 paid entries
What is your t-shirt
size? □ SM □ MED □ LG □ XL
Make
checks payable to : West Brazos Runners
Club
|
Mail
checks and entry form to:
MALE
______ FEMALE ________ DOB _____________________ AGE RACE DAY _________
ADDRESS
____________________________________________ Phone ______________________
CITY
___________________________ ZIP ______________
EMAIL ________________________
Emergency
Contact: _________________________________ Phone _____________________
Waiver:
In
submitting this entry I waive and release any and all claims for myself and my
heirs against the West Brazos Runners Club or Salvation Army, race sponsors,
their staff, race volunteers and officials, of this race for any injury or
illness that may directly or indirectly result from my participation in the
event. Photographs taken become the
property of the West Brazos Runners Club and may be used for promotional
purposes without compensation to participants.
I also consent to any medical treatment I may require during or after
the race.
Signature:
______________________________________________________________________
(This entry is invalid
unless signed by entrant or guardian of entrant who is under 18)
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