"STRIDES" 2008 APPLICATION
| Check one: ____Runner (must enclose entry fee) _____ Support staff ($25 optional) _____I'm unable to run this year, but I'm |
| $25 by May 12; $40 after May 12 sending a check to support your effort |
| Entry deadline: June 9, 2008 Send application to: Strides for Life Make checks out to: |
| Transportation and lodging are not c/o Deborah Anne Treamer American Cancer Society |
| guaranteed for late registrants. PO Box 1463 |
| Grand Rapids, MI 49501-1463 |
Please fill out all information:
Last Name______________________ First Name_________________________ M.I._____
Address________________________ Apt number______________
City ___________________________ State _______ Zip_________
County_________________________ Phone (_______)___________________
Email address _________________________________
Sex______ Age______ Shirt size (circle one) S, M, L, XL, 2XL, 3XL
| Days I will participate (circle all that apply): Thurs 6-19, Fri 6-20, Sat 6-21, Sun 6-22 |
| Days I will need lodging (circle all that apply): Wed 6-18, Thurs 6-19, Fri 6-20, Sat 6-21 |
| Waiver: I know that running in this event will suck if I am not properly trained or if I happen to fall and |
| get run over. Therefore, I hold only myself responsible for everything that may or may not happen during this |
| event. With my signature, I cannot sue The American Cancer Society, Strides for Life, or any other persons or |
| establishments associated with this event for any reason. |
_______________________________________________________________________
Participant's signature (and parent or guardian if runner is under 18)
| How did you ____ Another runner/staff member (their name):___________________________________ |
| hear about ____Strides for Life brochure (where was the brochure):____________________________ |
| this event? ____TV news/Newspaper (channel/name of paper):________________________________ |
| ____Other (source) ________________________________________________________ |