Print this page and Mail-in
CVS/pharmacy Downtown 5k Race Registration Form|
Age on race day |__|__| Male Female |__| Police |__| Firefighter |__|
Project 5K time (3.1 miles) Minutes ___________ Seconds_______________
If no time entered you will start in last wave start.
Check here if walking |___|
FirstName |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| MI |___|
Last Name |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Address 1 |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Address 2 |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
State |___|___| ZIP |___|___|___|___|___|
Phone –– (In case we need to reach you for problems with your entry)
IF YOUTH RACE YOU MUST CIRCLE GRADE/RACE THAT PARTICIPANT WILL BE IN ON RACE DAY.
5K Run/Walk |__| Youth Race GRADE |___| Wheelchair |__|
Grade (CHECK correct grade/race)
Age 1 to 3 |___|
1st Grade |___|
2nd Grade |___|
3rd Grade |___|
4th Grade |___|
5th Grade |___|
6th Grade |___|
7th Grade |___|
8th Grade |___|
All Kids Can |___|
Email address for this race only
Corporate Team Name____________________________________
Corporate teams members must submit all team entries together with corporate team declaration form.
(See corporate team section for how to get team entry forms. Can be printed of this site)
USA T&F Club Number (Required for USATF members only) ______Club Name_____________________________
USATF club members must submit all team entries together with USATF team declaration form to be scored as a team. Team forms can be printed from this site.
DO NOT MAIL AFTER 9/08/2007 See registration for entry fee
Make checks payable to: Downtown 5k, Inc.
Mail to:Downtown 5k, Inc.
P.O. Box 1940
East Greenwich, RI 02818-0663
Women\'s and Men\'s Race starts 11:15AM
Youth RaceS start 8:00am
Waiver: In consideration of the acceptance of this entry. I hereby for myself,heirs, executors, and administrators, waive and release any and all rights andclaims for damages I may have against CVS Corporation and its affiliates, The Downtown 5k, Inc., the City of Providence, USATf, sponsors, race officials,organizers and volunteers associated with this event for any injury that may occur as a result of my participation in this event.
Signature (parent must sign if entrant is under 18)
PLEASE CONSIDER REGISTERING ONLINE. iT IS THE LOWEST COST!
*COMPLETE THE REGISTRATION FORM
*ONLY ONE PERSON PER REGISTRATION FORM
*PHOTOCOPIES OF REGISTRATION FORM ACCEPTED.
*REGISTRATION FEE IS NON-REFUNDABLE
*PLEASE DO NOT STAPLE CHECK TO FORM
*ALL CORPORATE TEAM MEMBER FORMS OR USATF FORMS MUST BE MAILED TOGETHER WITH THE
TEAM REGISTRATION FORM
*Mail-in Entry fees
5k Run & Walk
$20 if postmarked by 8/1/2007
$21 if postmarked by 9/1/2007
$22 if postmarked after 9/1/2007. DO NOT MAIL AFTER 9/08/2007
$10 before 8/1/2007
$11 before 9/1/2007
$12 If postmarked before 9/08/2007. DO NOT MAIL AFTER 9/08/2007
Do not mail after 9/08/2007