2009 Rrd Registration

2009 Rockford River Run 5K and Kids Fun Run Proceeds will benefit the Rockford Cross Country Team

Saturday - August 8th, 2009 8:30 a.m (Fun Run to follow) Riverside Park - 8220 Elm Street Rockford, MN Entry Fees Entry Fees for 5K:  $17 pre-registered  $20 race day registration

Awards (presented after the fun run) Overall Male and Female 5K Age Group Awards Male and Female: 12 & under; 13-19, 20-29; 30-39; 40-49; 50-59; 60-69; 70 & over

Entry Fee for Kids Fun Run:  $10 pre-registered –or– race day

Kids Fun Run - Finisher Ribbons for all

Registration Register online at www.active.com Online registration closes August 7th

All participants will receive a Rockford River Run T-Shirt

Or mail in the form below post marked by August 3rd

For more information contact : John Van Danacker 763-477-6647 -or– [email protected] -or - www.rockfordriversday.weebly.com

Race Day Registration from 7:00 - 8:15

2008 Rockford River Run 5K/Fun Run Registration Form LAST NAME

BIRTH DATE

FIRST NAME

AREA CODE - PHONE NUMBER

MO - DAY - YR

SHIRT SIZE (ADULT) S

M

L

Saturday, August 8th 2009 AGE ON

SEX

AUG 8TH

M/F

XL

STREET ADRESS - INCLUDE APT NUMBER AND/OR C/O

CITY

STATE

ZIP CODE

Mail entry form and fee by August 3rd to: Rockford River Run 5K c/o John Van Danacker 8145 Vernon Street Rockford, MN 55373 Make all checks payable to: Rockford River Run 5K

Email Address: WAIVER:

In consideration of the acceptance of my entry, I hereby release all sponsors of this race, their representatives and assigns and the City of Rockford from any and all liability arising from illness or injuries I may suffer as a result of my participation in this race for which I am physically fit and trained.

Signature of participant: Signature of parent or guardian: If participant is under 18