Race Registration Page

Registration for Readers on the Run

Registration fee: $15
Make checks to JTEL

(print this page and mail it with your registration fee to:

John Trigg Ester Library
attn: Readers on the Run
PO Box 468, Ester, AK 99725)

Forms MUST arrive by Saturday, October 1. OR drop the completed form & payment off in the manila envelope at the Ester post office bulletin board, the Ida Lane Gazebo, or the John Trigg Ester Library. (Please put in an envelope addressed to Readers on the Run)

Race to be held Sunday, October 2, 2016

Registration fees, bandannas, & shirts: 

Shirts are still available in previous years’ designs, $15 donation requested at race (shortsleeved) or $20 (longsleeved). Some sweatshirts ($35) and bandannas ($15) are also available.

Participant information:

Name:

Mailing Address:

 

phone number:

e-mail:

Age on race day:

Age class (circle one): 9-15  –  – – 16-20   – – –   21-35  – –   –  36-50   – — – 51-69  – –  – 70+

The race is a fundraiser, and an important way that runners can contribute is by soliciting their friends and family to sponsor them in the race. Even small amounts add up. Please see our pledge page for more information or download the runner sponsorship form directly.

I will be soliciting sponsors for this race (circle one): yes / no

Bib # will be assigned at check-in. Please pick up your packet, with bib, at check-in, starting 10:30 am at race start point–library gazebo at 504 Village Road, Ester, Alaska)

NOTE: Risk waiver must be signed and dated before entry can be processed.

Parent/guardian must sign for entrants under 18

By signing below, I accept and agree to the following conditions:

Running is an action sport with hazards and risks which can cause me severe injury or death. In consideration for my participation in this event, I understand and accept the responsibility for these risks, conditions, and hazards. I hereby release and waive any claim I may have against the organizations and people conducting this event–the John Trigg Ester Library and the Friends of the Ester Library–for any injury, including death, which may come to myself (or my child) as a result in this event, including as a result of negligence of any person or entity.

Participant Signature:________________________________________

Date:___________________

Parent Signature:____________________________________________

Date:___________________

9th Annual Readers on the Run poetry fun run, 11:30 am, Sunday, October 2, 2016

Contact: Ed Rouleau, 458-9550, or Hans Mölders, 479-3368

(below to be filled out by JTEL; entrant please leave blank)

ENTRY#

AMT PAID

BIB#