Registration Information

Date: April 1, 2007

Time: 9:00 am
Run For Life 2007

See you all in: 2008

Name (first):_______________________

Name (last):________________________

Year of birth:_________  age:_______      

M               F       Please circle one    

Address:__________________________

City:_____________________________

Province:_________ Postal code:________

Phone (day):________________________

Phone (eve):________________________

 

 

PAYMENT:   Cheque          Visa          M/C

                                                                           Please circle one    

Card:_____________________________

Exp date:__________________________

Card holders name:___________________

Donation amount:$___________________

**If paying by cheque please make payable to:  Canadian Cancer Society
Text Box: In consideration of your accepting this entry, I hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the organizers or the agents, successors, representatives and assigns and the race sponsors, for all and any injuries I may sustain during the entire event. Accept Waiver? Yes Signature:_________________ Date:______________ Text Box: T-shirts: Adult S:____ Child S:_____ M:____ M:_____ L:____ L:_____ XL:____ #of shirts _____X $15.00=_____________ Please make cheques for T-shirts payable to: Shelley Phelan. All proceeds from T-shirts will be donated to the Canadian Cancer Society.

Kids 1km walk/run

This is free  event for all kids, up to age 12. All participants will receive a finishers ribbon. Parents are welcome to participate with their child. The route stays on Sungod property and is well supervised. T-shirts available in kids sizes s-m-l. $15.00 each

1 Km  kids run entry

Name:_____________________________

Age:_________ Phone:________________

You can copy and paste this into a text editing program such as Microsoft Word, print it out ,  drop it off at the North Delta  New Balance Store, or mail it to :

 Run For Life

c/o  6759 Carncross Crescent,

Delta,  B.C.

V4E 1L6

Click  here for online Registration