Meet Me Downtown 5k Night Run for the Fox Entry Form
Print this form, fill it out, and mail it with a check payable to the
Southern Arizona Roadrunners to this address by May 20,2008:
Southern Arizona Roadrunners
Meet Me Downtown
PO Box 64215
Tucson, AZ 85728-4215
Please circle one: 5k Run 5k Non-competitive walk
Last Name _________________________ First Name _____________________
Mailing Address ____________________________________________________
City ____________________________ State _______ Zip ________________
E-mail ___________________________________Phone:_______________________
SAR Member Y/ N_____
Telephone __________________ Sex ____ Age on 6/02/08 _______
SAR Member by 4/20/08 $20 _________
Non Member by 4/20/08 $25 _________
SAR Member by 5/20/08 $25 _________
Non Member by 5/20/08 $30 _________
All after 5/20/08 $35 _________
SAR Membership (annual, individual) $20 _________
Additional donations to the Fox Theater $ _________
TOTAL FEES PAID $ _________
Please read and sign the following waiver:
In consideration of the
acceptance of this entry, I hereby, for myself and my heirs, executors
and administrators, waive any and all rights, claims and damages I may
have against the sponsors, coordinating groups, the Southern Arizona
Roadrunners, the City of Tucson, Pima County, and any individuals
associated with said event. Also, none of the above is responsible for
the loss of personal items nor any other form of aggravation in
connection with said event. I have been warned I must be in good health
to participate in the event. I also give permission for the free use of
my name and picture in any broadcast, telecast, digital or print media
account of this event. In filling out this form, I acknowledge I have
read and fully understand my own liability and do accept the restrictions.
X ________________________________________________________________
Entrant's Signature Date
(Parent or Guardian's Signature if under 18)