PINK RIBBON 7k Run /Walk Oct. 26, 2013 WAIVER I hereby release the U of A, Vail Academy & High School, Vail School District, Tagg Running Events, USATF and all munici- pal agencies whose property and/or personnel are used and other sponsoring or co-sponsoring company (ies), agency (ies), or individual(s) from responsibility or any injuries or damages I may suffer as a result of my participation in the Pink Ribbon and all other events. I hereby certify that I am in good condition and am able to safely compete in this event. I will additionally permit the use of my name and pictures in broadcasts, telecasts, newspapers, brochures, etc. and I also understand that the entry fee is non- refundable. As a participating athlete I certify that all information provided in this form is true and complete. I have read the entry information provided for the event and certify my compliance by signature below. Bib numbers are non-transferable. IF ATHLETE IS UNDER AGE 18: This is to certify that my child has my permission to run in the Pink Ribbon, is in good physical condi- tion, and that race officials have my permission to authorize emergency treatment if necessary. PARTICIPANT’S SIGNATURE (or parent/guardian if participant is under 18 years) Date Make check payable to: Tagg Running Events PLEASE COMPLETE ALL INFORMATION • ONE FORM PER PARTICIPANT FIRST NAME LAST NAME M F BIRTHDATE (MM/DD/YY) AGE ON RACE DAY AREA CODE PHONE E-MAIL ADDRESS: TEAM/CLUB NAME: STREET ADDRESS APT. NUMBER CITY STATE ZIP ( ) – Official use only Location: Vail Academy and High School 7762 E. Science Park Dr. Tucson, AZ 85747 *MUST ENTER FROM KOLB ROAD Course: Starts and finishes at Vail Acad. and High School and runs along Science Park Dr. at the UA Tech Park with views of the Solar Zone. Registration & Bib Number Pickup: 7:00 - 7:55 a.m. Start Time: 8:00 a.m. Features: • FREE T-shirt if pre-registered by 10/17/13 • Awards to top 3 finishers in divisions • Award to First Breast Cancer Survivor Finisher • On-line registration provided by Race Director: Steve Taggart - (520) 820-6447 [email protected] www.taggrun.com COMPLETE FRONT & BACK OF ENTRY FORM T-Shirt: (circle one) Adult sizes: S M L XL XXL (add $4) Youth sizes: S M L FREE T-shirt guaranteed if entry received by 10/17/13 Are you a breast cancer survivor? Y N Please mail completed entry form and fee to: Tagg Running Events P.0. Box 1029, Vail, AZ 85641 FEES: (circle price) 18 and older Until 9/1/13 $25 17 and Under Until 9/1/13 $20 All participants 9/2/13 until race day $30 Long sleeve tee upgrade $15 (received by 10/17/13) Hooded Sweatshirt $30 Donation $______ Total $______ A portion of proceeds will benefit For more information Fliers provided by ENTRY FORM Music provided by COMPLETE FRONT & BACK OF ENTRY FORM Saturday, October 26, 2013 4th Annual