Burgh's Pizza & Wing Pub
9th Annual 10K/5K Run & 2 Mile Walk

Sunday, April 26th 2009

for family, friends, & fun

Benefit of the Montour Trail
ENTRY FEES All Participants
10K or 5K run    $25
2-Mile Walk    $25
 
Both 5K,10K Runs    $30
(only 45 min to complete 5K run and recover
 prior to 10K start)
 
 
Starting Times:
5K Run : 9:15 a.m.
10K Run : 10:00 a.m.
2 mile Walk: 10:15 a.m.


Make checks payable to:
BP&W 10K Montour Trail
(Please do not sent cash.)


Mail to:
BP&W 10K Montour Trail
533 Washington Ave.
Bridgeville, PA 15017
  Please print
Name:
Address:
 
City:
State, Zip:
Age as of April 20, 2008: _____
Sex:   M      F
Event: 10K Run      2-Mile Walk
          5K Run

Racing Shorts Size:
XS     S     M     L     XL
Based on availability,
racing shorts may be purchased on Race Day.

Waiver: In consideration of the acceptance of this entry, I waive for myself, my heirs, and assigns, all rights and claims for damages which I might have against the Burgh's Pizza & Wing Pub 10K/5K Run & 2 mile walk for Family,  Friends & Fun to be held Sunday, April 26, 2009, Burgh's Pizza & Wing Pub, The Montour Trail Council, other sponsoring organizations, businesses, or individuals as a result of any and all injuries suffered by me in that event. I attest and verify that I am an amateur and physically fit and have trained sufficiently for this event. I also release any photos that may involve myself.
Signature:
If under 18, parent or guardian must sign below:
 
Signature of parent or guardian