WINTER WONDERLAND OF LIGHTS RUN/WALK & RELAY Entry Form
Saturday, November 26, 2011 - 5:00PM
Winter Wonderland-Festival of Lights, Portland International Raceway
2-Mile, 4-Mile, & 6-Mile
Website - www.racecenter.com/festivalrun

 

Instructions
> Type in your information in the blanks provided.
> Print entry form & SIGN WAIVER (Entry will not be accepted without the signed waiver)
> Make Checks Payable to:
Festival of Lights

Mail to:
AA Sports
4836 SW Western Ave
Beaverton, OR 97005


Event (Choose One)

ENTRY FEES (includes long sleeved t-shirt for adults and short sleeved t-shirt for Kids 6-12. Shirt NOT included for Lil' Elves Parade Participants. They are available for $10.00 for purchase - please indicate below if purchasing)
Individual
INDIVIDUAL (entry includes: T-shirt, ChampionChip Timing, awards, prizes, food, festivities, and great camaraderie.)

First Name / MI / Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy

Age

Gender

Phone

Email

Division (Individuals)


Adult T-Shirt Size (included in entry fee)

Youth T-Shirt Size (Kids 6-12 ONLY-included in entry fee)

PURCHASE ADDITIONAL COMMEMORATIVE HOODED SWEATSHIRT FOR $25.00

PURCHASE Lil' Elves shirt FOR $10.00

Check#

Amount Enclosed



WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
I know that participating in an organized athletic event is potentially hazardous, and that I should not enter to participate unless I am medically able and properly trained. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am physically fit and that I have sufficiently trained. I agree to abide by the competitive rules. 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 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. I understand that the Entry Fees are Non-Refundable/Non-Transferable.

Type Full Name


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

Date________________________________________