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Swarthmore Charity Fun Fair 2009

5k Fun Run & Walk Registration Form
 
8th Annual Swarthmore Charity Fun-Fair 5K Fun Run & Walk
Proceeds to Benefit the Lions Charities
Date & Time: Sunday, April 19, 2009
12:00 noon start
10:30am –11:45am registration and race packet pick-up
   
Place: Swarthmore Septa Train Station
College Lane and Chester Road , Swarthmore, PA 19081
(Registration and Start)
   
Awards:

First 3 male and female runners
Awards Ceremony After Race
   
Course: USA T & F Certified 5K through the streets of Swarthmore and the campus of Swarthmore College.
   
Amenities: T-shirts guaranteed to first 100 registrants.
   
To Enter: $20.00 entry fee
Make checks payable to: Lions Club of Swarthmore
Fill in registration form
Sign "Release and Hold Harmless" form
Mail registration and "Release and Hold Harmless" forms and check to:
Lions Club of Swarthmore
P.O. Box 514
Swarthmore, PA 19081
   
Information: James Ryan (610) 328-1026 or (610) 322-0841; email: Jdr17@aol.com
   
Please fill out the form below and click the "Submit" button at the bottom of the form. You may also click here to open a printable pdf version of the registration form.
   
Last Name:
First Name:
Middle Initial:
E-mail Address:
Phone Number:
Street Address:
Address 2:
City:
State:
Zip Code:
Sex:
Age Day of Race:
T-Shirt Size:
Will You Run or Walk:
   
Please open and print the 2009 Release and Hold Harmless Statement before continuing. This form must be mailed or faxed (267-685-2928) to our office prior to competing in the race.
   
I have read and agree to the 2009 Release and Hold Harmless Statement
   
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