May 7, 2016 Shake it! Registration Form

Click here to register online for the 2016 Shake it! 1K/5K Run/Walk or print the registration form below and return to your child’s or children’s teachers.

Please register each participant with a separate entry form:

Friends of Bonham 2016 Shake It! 1K/5K Run/Walk Registration

 

5K Run/Walk ____   Kids’ 1K**  ____    Child’s Homeroom/Teacher __________

Name: _______________________________ M / F    Age: __________

Address: ______________________________________________________

Phone: ____________________ Email: ____________________

Shirt Size Adult:   S   M    L    XL    Youth:    XS   S   M   L

Waiver: In consideration of acceptance of this entry, I (for myself and/or my child), my executors, administrators, and assignees, do hereby agree to assume full responsibility for my own safety and to save and hold harmless the sponsors, promoters, directors, and all persons and entities associated with this event. I attest and verify that I have full knowledge of the risks involved and verify that I am physically fit and sufficiently trained to participate in the event.

If under 18, parent signature is required.

Signature                                                      Parent Signature

___________________________           _____________________________