Arnold Air Society

Run For The Fallen 5K REGISTRATION FORM

EVENT OVERVIEW Date: The 20th of November 2011 Race Start Time: 10:00 AM Race Day Check-In: Begins at 8:30 AM Proceeds Go To: The National League of POW/MIA Families Entry Fee: Early Registration $20.00, Day of Race $30.00 Incentives: Register Early to receive shirt and support the POW/MIA cause REGISTRATION INFORMATION
Name: _________________________________________ Address: _________________________________________ City/State: _________________________________________ Zip-Code: _________________________________________ Phone: ___________________________________ Ext.: _______ Email: _________________________________________________

T-Shirt Size (circle one): S

XL

2XL

Registration Fee (s): On day of Race there is no guarantee of receiving a shirt. Make checks payable to: UC AAS Please sign the waiver statement below: I know that running a 5K race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I assume all risks associated with running this event. Having read this waiver and knowing these facts and in consideration of your accepting my entry fee, I, for myself, and anyone entitled to act on my behalf, waive and release the Arnold Air Society, University of Cincinnati, all sponsors, and their representatives and successors, from all claims or liabilities of any kind arising out of my participation in this event.

________________________________________ ___________________________________ Signature (Parents Signature If under 18) Date

Checks and registration can be turned in at or mailed to: AFROTC DET 665 University of Cincinnati 2585 Dennis St. Suite 1100M Cincinnati, OH 45221-0042 513-226-1974 937-469-1712