Official Entry Form
Official Beat the Grandma 5K Race Entry Form...Print Off and Mail In
Early by Mail Registration will take place from now up to June 1st...your entry must be received by June 5th
race day is Saturday in JUNE....TBA June, 1, 8 or 15th
Name:______________________________________________
Address:____________________________________________
City:________________________________________________
State:____________________ Zip Code:___________________
Phone Number:(___)_____-_____________
Email Adress:_________________________________________
T-shirt Size: sm, med, lg, xl, xxl, =_________
Date of Birth:_______________ Age on Race Day:___________
Gender:(circle one) male or female
Early entry $15.00 if received by JUNE 1st......total=___________
Late entry including race day registration is $20.00....total=_________
Old Fart Running Club Discount(-$5.00)...club #_______
Guts to "Wear a Grandma Mask or Costume" (-$5.00 ) discount=_______
Method of Payment: check #=______________
money order=___________
cash=_________________
Print Off and Mail this entire page with check or money order payable to:
Old Farts Running Club
913 Covell ave. N.W.
Grand Rapids, Michigan, 49504
BEAT the Grandma 5K Race Waiver Form
WAIVER MUST BE SIGNED IN ORDER TO BE ACCEPTED INTO THE BEAT THE GRANDMA ROAD RACE. IN REGISTERING FOR THIS RACE I STATE THAT I AM FULLY AWARE, UNDERSTAND, AND ASSUME ALL THE RISKS AND RESPONSIBILITY FOR PARTICIPATING IN THIS RACE ON A COURSE WITH BIKE TRAFFIC AND THAT I AM FULLY CONDITIONED FOR THIS RACE TO THE LEVEL OF APPROPRIATE FITNESS. I ALSO WAIVE ALL CLAIMS AGAINST THE RACE DIRECTORS, HOST SITE, SPONSORS, THE CITY OF GRAND RAPIDS, ETC. AND I AM ALSO AWARE OF THE FACT THAT IF THE RACE GETS CANCELLED DUE TO WEATHER OR OTHER REASONS THAT THE RACE ENTRY IS NON-REFUNDABLE.
SIGNATURE:____________________________________DATE:__________________________
PARENT or GUARDIAN MUST SIGN IF UNDER 18 YEARS OF AGE:
SIGN:_________________________________________DATE:___________________________