Registration Form little mo .pdf
Original filename: Registration Form little mo.pdf
Title: Registration Form
Author: Ellen Beckerman
This PDF 1.3 document has been generated by Word / Mac OS X 10.9.5 Quartz PDFContext, and has been sent on pdf-archive.com on 21/05/2015 at 01:38, from IP address 67.249.x.x.
The current document download page has been viewed 788 times.
File size: 221 KB (1 page).
Privacy: public file
Download original PDF file
Registration Form little mo.pdf (PDF, 221 KB)
Share on social networks
Link to this file download page
Skanda Equine and
invite you to the 3rd Annual
Little Moe 5K Walk/Run
Sunday, June 28
Location: CNY SPCA, 5878 E. Molloy Road, Syracuse
Start Time: 8:30am
Families, strollers, and pets welcome!
Timing provided by Auyer Racetiming
Early Registration (before June 15): $25
Registration after June 15: $30
For more info, contact Skanda Equine at 315-515-5056
Make check payable to CNYSPCA, and mail check & entry form to: Little Moe 5K, c/o Skanda Equine, 4000
Mosley Road, Cazenovia, NY 13035.
Name (First & Last): ________________________________________________________
City: ______________________ State: ____________ Zip: ____________ Age: ___ Gender _____
Email: ______________________________________ Phone: _____________________ T-shirt: _S _M _L _XL
WAIVER (Must sign to participate): I do hereby absolve all race sponsors, volunteers, race officials, and organizers
from all claims of damages, demands, actions, and courses of action whatsoever, in any manner arising or growing
out of my participation in the Skanda Equine Little Moe 5K Walk/Run. I certify that I have prepared myself and
that I am in adequate physical condition to participate in the event I have entered on June 28, 2015.
Parent (if under 18)_____________________________________Date____________
Link to this page
Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..
Use the short link to share your document on Twitter or by text message (SMS)
Copy the following HTML code to share your document on a Website or Blog