Breckenridge Fall Festival

5K run and 2 mile walk registration form

Print this page, detach below and return bottom only

ONE ENTRANT PER FORM PLEASE—FEEL FREE TO DUPLICATE

NAME ________________________________________________________

First Last

ADDRESS ___________________________________________________________________

Street or P.O. Box Town State ZIP Code

PHONE optional ( ) ____________ Circle one: 5K RUN 2 Mile WALK

Age on Race Day ___ MaleFemale _ T-Shirt size (adult) S M L XL XXL

PLEASE ENCLOSE CHECK PAYABLE TO: BRECKENRIDGE EDUCATION FOUNDATION

MUST SIGN TO PARTICIPATE: I choose to enter this event voluntarily and release Breckenridge Community

Schools Education Foundation, all organizers, volunteers, and sponsors from damages, injuries, and expenses

incurred by my participation. This event is on Breckenridge streets, so I acknowledge I must watch for

traffic and street conditions. I grant permission to use photographs of this event for legitimate purposes

SIGNED ___________________________________ DATE ________

parent must sign if participant is under age 18

Age on Race Day _____ Male____Female ___ T-Shirt size (adult) S M L XL XXL