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Race For Grace
Registration Form |
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Print this registration form off on your computer and
mail it in to register
for the 13th annual Race for Grace! Please print all registration information. Mail your registration and check for $12 per participant (payable to "Logansport Great Banquet") to the address shown at the right. |
Race For Grace |
| Name: | Phone: |
| Street Address: |
| City/State/Zip: |
| Age On 7/10/2010: |
Male:
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Female:
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| Release: The undersigned, for himself, herself, his or her heirs, executors and administrators, in consideration for being permitted to volunteer in and/or enter the RACE FOR GRACE, does hereby forever release, hold harmless, and discharge RACE FOR GRACE organizers, volunteers, and sponsors of and from all claims or demands of liability in any manner arising out of my participation in this event. I certify that I have prepared myself for the event, and that I am in adequate physical condition to complete this event. I also agree to follow all rules of this race. I further grant my permission for race organizers to use any photographs, videotapes, or any other records of this event. |
| Signature: | Date: |
Shirt Size
(circle one): |
S
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M
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L
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XL
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XXL
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| Parent/Guardian Signature if runner is under 18 years of age: |