Mail to:
AA Sports, Ltd.
4840 SW Western Ave.
Suite 400
Beaverton, OR 97005

Event (Choose One)

Individual
(entry includes: T-shirt, finisher medal, food, festivities, and great camaraderie)
- ½ Mile Kid's (age 12 & under) $12.00 - Early Entry ½ Mile Kid's (age 12 & under) $12.00 - Day-of-Race 1-Mile Kid's (age 12 & under) $12.00 - Early Entry 1- Mile Kid's (age 12 & under) $12.00 - Day-of-Race

First Name / MI / Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy (not 2008)

Age

Gender
- Female Male

Phone

T-Shirt Size (included with race entry fee)
- Youth M Youth L Adult S Adult M Adult L
Check#

Amount Enclosed


WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
OFFICIAL WAIVER: I certify that my child is capable of completing all disciplines of the event. As Parent/Guardian I hereby take the following action for myself, my executors, administrators, heirs, next to kin, successors and assigns, or anyone else who might claim or sue on my behalf, and I hereby waive, release and discharge from any and all claims, losses, or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, or theft which may arise out of or relate to my child's participation in this event. I agree not to sue, and to hold harmless any and all persons, sponsors, volunteers, participants or government agencies for any and all claims or liabilities that I have waived, released or discharges herein.

Type Full Name


Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian)

Date________________________________________