Boxer Bash 2008 Walk/Run
Location: Triangle Park, Dayton. Near the Pavilion on Ridge Ave.
Registration Cost: $15 postmarked by September 17th, $20 after September 17 and on Race Day. T-Shirts may be available but not guaranteed to those registering after September 17th.
5K Awards: Top Male, Female Overall and top 3 each division. The divisions are as follows: 10 &Under, 11-19, 20-29, 30-39, 40-49, 50-59, 60-69, and 70 & over.
Special Boxer Bash Award: Top Female and Male finishing the 5K with a 4-legged partner.
Cut the course: Not up to 5K, then we’ll set you up for 1 or 2 miles.
First Name:__________________________ Last Name:_____________________________________
Address___________________________________________________________________________
City: ______________________________________State: __________ Zip:____________________
Phone: _________________________________Age on Race Day: ___________
Please Circle as appropriate:
Gender: Male Female Shirt Size: S M L XL Distance: 5K 2 Mile 1 Mile
Category: Runner Walker Runner w/ dog Walker w/ dog
Release: In consideration and acceptance of this entry to the GO Boxer Rescue, I waive all claims for myself, my heirs, and assigns against GO Boxer Rescue and all sponsors, patrons, promoters, race officials and all other associated with the GO Boxer Rescue for any injuries or illness which results from my participation. I further state that I am in the proper physical condition to compete in this race. Also, I authorize the use of my name and/or photograph taken at this race for the use in any news media.
Signature:_________________________________________________ Date: ________________
Parent or guardian must sign if entrant is under the age of 18
Emergency Contact: ________________________ Phone Number: _______________________
Please make checks payable to: GO Boxer Rescue and mail to P.O. Box 621 Dayton, OH 45405-0621