Saturday, April 5th - 10am - 5pm
Sunday, April 6th - 5:30am - 6:45am (1/2 Marathon), 7:15am (10K)

Make Checks Payable to: Race for the Roses
Mail to:
AA Sports, Ltd
4840 SW Western Ave. Suite 400
Beaverton, Oregon 97005

EVENTS (entry fee includes commemorative T-shirt):

- Half-Marathon Run/Walk (on or before March 24th) - $40.00 Half-Marathon Run/Walk (March 25 - April 4) - $50.00 Half-Marathon Run/Walk (at Packet Pickup) - $60.00 5K Run/Walk (on or before March 24th) - $25.00 5K Run/Walk (March 25 - April 4) - $30.00 5K Run/Walk (at Packet Pickup) - $35.00

First Name / MI / Last Name

ChampionChip Number (if applicable - Example - CE12345)

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy (birth year not 2008)

Age

Gender
- Female Male
Phone

Email

Division (Individual)
- 12 years & under 13 - 15 years 16 - 19 years 20 - 24 years 25 - 29 years 30 - 34 years 35 - 39 years 40 - 44 years 45 - 49 years 50 - 54 years 55 - 59 years 60 - 64 years 65 - 69 years 70 - 74 years 75 years & over
Special Divisions
- Wheelchair Hand crank Clydesdales (Males - 198lbs and over) Athena (Females 150lbs and over)
T-Shirt Size (included with race entry fee)
- Adult Small Adult Medium Adult Large Adult X-Large Adult XX Large (Additional $3.00)
Commemorative Finisher Shirt Option - Brown Long Sleeved Finisher Shirt (this is an additional purchase)
- Small - $15.00 Medium - $15.00 Large - $15.00 X-Large - $15.00 XX-Large - $18.00
How did you hear about the race?
- At another race On-Line Email Running Club/Store Nike + Team in Training TriMet Bus Sign Radio RaceCenter Magazine Other
How many races have you participated in the Last 12 Months
- 0 1-2 3-6 7-10 10+
How many races have you participated in the Last 5 Years
- 0 1-2 3-6 7-14 15-25 26+

COMPLETE IF DOING THE HALF MARATHON
Number of Completed Half-Marathons

Best Previous Half-Marathon Time

Predicted Finish Time

Additional Gift - Kerr helps our community with services for children, families and adults in crisis. Private donations make this vital work possible.


Check#

Amount Enclosed


WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
WAIVER & RELEASE: READ THIS! I know that running/walking a road race is a potentially hazardous activity. I should not enter and run/walk unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run/walk. I assume all risks associated with participating in this event including, but not limited to falls, contact with other participants, the effects of weather, including high humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of acceptance of my entry, I for myself and anyone entitled to act on my behalf, waive and release Albertina Kerr Centers, AA Sports, Ltd., City of Portland, and any and all persons, sponsors and entities, their representatives and successors from all claims or liabilities of any kind arising out of my participation even though said liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission for all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose. Parents must sign if participant is under 18 years of age. This is to certify that my child has permission to complete in this event, is in good physical condition and that event officials may authorize necessary emergency treatment. I agree to return the Timing Chip assigned to me or pay a $30.00 replacement fee. ENTRY FEES ARE NON-REFUNDABLE.

Type Full Name


Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age of 18)

Date________________________________________