Registration Information
(2012)
Discount
Before End Of Day On April 15th
Pre-Registration
(received by Aprill 15 th 2012): $20
Entry Fee. Families of 3 or more:
$15 each.
Received
from April 16 - May 23rd $25 Fee.
Families of 3 or more: $20 each. Day
of Race: $30
All Entries.
*FREE
Registration for Active Duty Military Personnel
Make
check payable to Easton
Suburban Kiwanis Send
to: Kevin Dolan, Race Director, 549 Ashwood Drive, Nazareth, PA
18064-8886
| Name (First): |
Name (Last): |
| Address: |
City: |
State: |
Zip: |
| Phone: |
Email: |
Circle One:
Male Female |
| Date Of Birth: |
Age
(Race Day): |
T-Shirt
Size (Circle One): S
M L XL |
Paid: $ |
Release: In
consideration of this entry, I, the undersigned, do waive any and all claims for
myself and my heirs against Kiwanis Foundation
and any and all sponsors, benefactors, and officials of the Kiwanis Classic
Tortoise & Hare Run/Walk for any injury I further state
that I am in proper physical condition
to participate in this event. I
give Kiwanis permission to use photos or video footage taken during the event for
promotional purposes.
Registration valid only if signed
-
Signature
(Legal guardian if under 18)
Date
| 
