Share |

Saturday, May 5, 2007 -- Kingwood, WV / Preston County Country Club
Cheat Festival 5K-MAGP Sprint #3 (iPO Event Id#: 10010) - Return to the Details Page

Makes check payable to: Friends of the Cheat
Mail Payment/Form to: Friends of the Cheat, 119 South Price Street, Suite 206, Kingwood, WV 26537

Name: _______________________________________________________________

Street (P.O. Box): _____________________________________________________

Town: _____________________________State: _______ Zip code: ___________

Phone: _________________________ E-mail (optional): ____________________

Date of Birth: _______/_________/_______ Age as of 5/5/2007: __________

Male: _________ Female: __________

Where did you hear about the 5K race? _________________________________

Cost: Early registration $20.00 must be postmarked by 4/28/07, thereafter $25.00
With your registration you will receive free admission into the Cheat River Festival and the first 100 pre-registered racers will receive a free Cheat Fest 5K race shirt.

Please Circle Tee-Shirt Size: Small Medium Large XLarge

In consideration of your acceptance of my application for entrance in the Cheat Fest 5K, I for myself and anyone entitled to act on my behalf, waive and release FOC and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out my participation in this event.

Signature: _________________________________________________

Date: _____________________

Entrant's Signature:_________________________________________

Parent or Guardian, if under 18: _____________________________

Date: ________________________