"PawPrint" Road Race

Register on line at

www.pawprint.8K.com

Please Print Clearly:

Name ___________________________________________

Address_________________________________________

City_________________________State_______Zip______

Age:___________(race day) Male_____Female_______

Phone ( ) _____________

Email: ___________________

Event:

8K Race………………_________

1 Mile Doggie Walk…_________

(Walk with canine)

Fee:

\\$12.00 8K event w/shirt Mail checks payable to:

\\$ 8.00 8K event no shirt PawPrint Road Race

\\$12.00 1M event w/shirt P.O. Box 761

\\$ 6.00 1M event no shirt Fort Mill, S.C. 29716

\\$20.00 All events Race Day

(T-Shirts not guaranteed past 3/26/01)

Race Day Registration: 6:45am through 7:30 am

Please Circle:

Type of Shirt: T-Shirt Tank Top

Shirt Size: Sm Med LG XL XXL

^{Waiver: In consideration of the acceptance of this entry in the 5th}

^{Annual "PawPrint" Road Race, for myself and my heirs and assigns}

^{release all organizers, volunteers, sponsors, officials, representatives,}

^{their agents and employees, and any other organization assisting}

^{or putting on the event from any and all claims for damages or injury}

^{incurred by me as a result of my participating in or traveling}

^{to or from this event. I further state that I am in proper physical}

^{condition to compete in the 5 mile Race or the 1 Mile walk. I also give}

^{permission for the free and unrestricted use of my name and pictures}

^{in any broadcast, telecast or written account of this event.}

^{____________________________ ___________ _______________________}

^{(runner’s signature) (date) (Parent’s signature if uner 18)}