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5K and 2K
Cub Trots
for Children
8 and Under
Saturday
October 3, 2009
Race Times
2K
8:30 a.m.
5K 8:50 a.m.
Cub Trots 9:30 a.m.
Wesleyan
Wolf Trackers
5405 Spalding
Drive
Norcross,
Georgia
30092
For Additional
Information, call:
Kim Sutton-Adair:
770-335-1852
Julie Rosenkranz: 678-223-2217
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Wesleyan Wolf Trackers
Family Fun Run Entry
Return to Wolf Trackers
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Name |
Gender |
T-Shirt Size |
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Age |
Race Category |
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Grade |
Homeroom Teacher |
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To ADD additional runners click check box to left, and then provide additional information
to the right.
Otherwise, scroll to the bottom and complete the form. Your Registration Form
will then be emailed
to Lesley Gentry.
Payment will be accepted on race day or you can turn a check into any school office. |
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Name |
Gender |
T-Shirt Size |
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Age |
Race Category |
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Grade |
Homeroom Teacher |
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Name |
Gender |
T-Shirt Size |
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Age |
Race Category |
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Grade |
Homeroom Teacher |
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Name |
Gender |
T-Shirt Size |
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Age |
Race Category |
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Grade |
Homeroom Teacher |
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Name |
Gender |
T-Shirt Size |
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Age |
Race Category |
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Grade |
Homeroom Teacher |
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Name |
Gender |
T-Shirt Size |
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Age |
Race Category |
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Grade |
Homeroom Teacher |
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Are you a Wesleyan family? |
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Street Address: |
City, State Zip |
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Phone Number |
*E-mail Address |
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*Confirm E-mail Address |
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COST |
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Students/Staff
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Received by September 23rd $12.50 each.
After September 23rd
$15.00 each.
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Adults
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Received by September 23rd $15.00 each.
After September 23rd
$17.00 each.
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Family Max
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Received by September 23rd $50.00
After September 23rd $60.00 |
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I can't participate, but I wish to make a donation in the amount
of:
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Please make checks payable to: Wesleyan Wolf Trackers, and return
to a school office or the Dozier Library. |
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By filling out this form, a slot has been reserved for you. All payments are
due on race day. |
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The following waiver of liability must be signed in order for your entry to
be accepted:
I am entering this event at my own risk and understand that parts of the
event will take place on public roads not closed to traffic. In signing this release
for myself (or for entrant when entrant is under 18), I have read and understand
this release and agree to absolve the sponsors, organizers and race officials, singly
and collectively, from all blame for any injury, misadventure, harm, loss, or inconvenience
suffered as a result of taking part in the Wesleyan Wolf Run. I also give permission
for the free use of my name and/or picture in any broadcast, telecast, or any other
account of this event.
By submitting this application, I agree to the terms of this waiver. |
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