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CARE for Animals 9th annual
Paws on the Pavement 5K / 1M
Entry Form
May 17, 2008 -- 8:00am (5K), 9:30am (1M) -- Pavilion #
4 & 5, Murray Park, Little Rock, AR |
Name:
Last:
First: |
Date of Birth:
Sex: M F |
Address: |
City, State, Zip: |
Shirt Size: S M
L XL XXL (+2.00)
Age on 5/19/2007:
If family, note
2nd T-shirt size here: |
Division: 5K Run/Walk (no dogs)
1 Mile Fun Walk/Run (dogs
& strollers welcome)
Wheelchair 5K Racewalker
Virtual Runner |
Release:
I know that running and volunteering to work in club races are potentially hazardous
activities. I should not enter and run in this race 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. I assume all risks associated with running and
volunteering to work in club races including, but not limited to falls, contact with other
participants, the effects of the weather, including high heat and/or humidity, the
conditions of the road and traffic on the course, 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 the Central Arkansas Rescue Effort for Animals, Inc. (CARE),
ArkansasRunner.Com and all sponsors,
their representatives and successors from all claims or liabilities of any kind arising
out of my participation in the race and/or club activities even though liability may arise
out of negligence or carelessness on the part of the persons named in this waiver. I
grant permission to all the foregoing to use any photographs, motion pictures, recordings,
or any other record of this event for any legitimate purpose. |
Signature:
Date: |
Parent Signature if under 18 years:
Date: |
Make checks payable to CARE and mail to:
CARE, P. O. Box 7604, Little Rock, AR 72217
* For information: 501-603-2273 or
www.careforanimals.org
or care@careforanimals.org
|
Fees:
$20 pre-registered by May
10, $25 after May 10
(incl. 1 shirt)
$36 family pre-registered (limit
4 per family) by May 10, $40
after May 10
* Separate entry form required for all members of family participating
(incl. 2 shirts)*
Virtual runner $20 individual
(incl. 1 shirt)
Other Options:
Paws on the Pavement Dog Bandanna $5 each
Pet memorial $5 each
Extra T-Shirts (please specify size & quantity) $10 each
Pet Memorials & Postcard Tributes also available. Contact CARE for
details. |
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