5K Run/Walk $35.00* Egg Hunt $10.00* *5K

Transcription

5K Run/Walk $35.00* Egg Hunt $10.00* *5K
Office Use Only
Eventbrite
Payment
Budget
Grant Park, Chicago, IL
Saturday, April 4, 2015, 9 a.m.
www.BunnyRock5k.com
PLEASE SELECT A CATEGORY:
5K Run/Walk $35.00*
Egg Hunt $10.00*
*5K increases to $40 on (2/9), $45 on (2/23), and $50 on (3/30) *Egg Hunt increases to $15 on (3/30)
*Registration form must be postmarked by that date to receive the current rate.
First Name:
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Last Name:
Birthdate:
Gender:
Male
Email:
Female
Age:
Phone:
Address:
City:
State:
Shirt Size:
X-Small
Small
Medium
Zip Code:
Large
X-Large
2XL
3XL
*5K receives dri-fit, unisex, short sleeve t-shirt. *Egg Hunt receives basket and eggs
ENTRY FEES:
5K Run/Walk $35.00 ($40 on 2/29)
Egg Hunt $10.00 ($15 on 3/30)
Pay By:
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*NO COUPON CODES FOR MAIL IN REGISTRATIONS
MAIL FORM & CHECKS PAYABLE TO:
Adrenaline Sports Management
c/o Bunny Rock Chicago
770 Industrial Dr. Ste. A
Cary, IL 60013
WAIVER AND RELEASE:
In consideration of acceptance of this entry, I
hereby for myself, my heirs, executors and
administrators waive any and all rights and
claims for damages I may have against the organizers and sponsors of the Bunny Rock Chicago
5k and Egg Hunt, Adrenaline Sports Management,
the Chicago Park District, the City of Chicago, USA
Track & Field, all sponsors, individuals associated
with the event, their representatives, successors,
assigns, for any and all injuries suffered by me in
connection with said event, including pre- and
post-race activities. I have been warned that I
must be in good health to participate in this
event and I attest and verify that I am physically
fit and have sufficiently trained for this event.
Adrenaline Sports Management also reserves the
right to use any photographs of the event for
marketing and promotion.
PARENT OR LEGAL GUARDIAN - FOR PARTICIPANTS UNDER 18 YEARS OF AGE
CANCELLATION POLICY: Entry fees are non-refundable & entries are non-transferable
DATE