24th Annual SOUTHWEST TEXAS JUNIOR COLLEGE

TURKEY TROT FUN RUNS

 REGISTRATION FORM

First and Last Name:       

Address:      

City, State:   

Age:    

Date of Birth:   example 12/12/71

Male or Female

Phone Number: example (555)555-5555

Email Address:   

Event: Type in Choice:  10K - 5K - 1 mile Kids Run - Kids Fun Run

T-Shirt   Type in Choice:  XLarge - Large - Medium - Small - Youth SM - Youth Md - Youth SM

Wavier: I herby for myself, my heirs, executors, administrators, indemnify and hold harmless from and against all claims, demand, damages, actions, suits, debts, liabilities, and losses suffered by me which may result from my participation.  I attest that I am physically fit to participate in this event.    

Waiver:   Type: Yes for I agree or No for I do not agree.

REGISTRATION WILL BE PROCESSED WHEN PAYMENT IS RECEIVED.

SIGNED AT PACKET PICKUP:

Signature of Participant: ________________________________________

Guardian or Parent's Signature (if runner is under 18):  _______________________________________

Date: ____________________________________________

Mail  Payment and printed registration to: Attn: Rob Fowler, SWTJC Kinesiology Dept., 2401Garner Field Road, Uvalde, TX 78801-6297

No Refunds - The Official Race Director Reserves the Right to Reject any Entry.