Dassel Red Rooster Days

Dassel Red Rooster Days Run Registration Form

Mail entry form with fee payable to: DASSEL RED ROOSTER RUN

Please mail entry forms to the address below. Forms must be postmarked by August 1, 2015 to receive early bird discount and guaranteed t-shirt.

PRINT NAME ______MALE ( ) FEMALE ( ) AGE ( )

MAILING ADDRESS: ______

CITY: ______STATE: ______ZIP: ______

PHONE #:______EMERGENCY CONTACT NAME & #:______

EMAIL ADDRESS: ______

AMOUNT ENCLOSED: $______

CIRCLE T-SHIRT SIZE: YS YM YL S M L XL XXL

Mail to: CHECK EVENT PARTCIPATING IN:

Red Rooster ( ) Youth Fun Run

P.O. Box 208 ( ) 5 Mile Run Dassel, MN 55325

( ) 1 Mile Run/Walk

PLEASE READ and SIGN: I enter this race at my own risk and hereby waive all claims that I or my heirs have against all sponsors, race directors, and all associated with this race for any injuries or problems I may sustain, regardless of negligence. I am totally responsible for my safety and any injury I may suffer.

SIGNATURE ______DATE ______

PARENT SIGNATURE (If under age 18) ______DATE ______