The St. Ann's Family Fair

"5K to The FAIR"

Saturday, September 27, 2008

8:00 AM Start for Kids Miracle Miler

8:15 AM Start for "5K to the Fair" Fun Run

8:15 AM

Start for  10K Old Midland Route

T-shirts will be provided to Early Registratants Only

EARLY REGISTRATION: $20 ( BEFORE SEPTEMBER 17th)

LATE REGISTRATION: $20 ( AFTER SEPTEMBER 17th)

LAST

FIRST

MI

SEX:

AGE:

MALE

FEMALE

ADDRESS:

CITY

STATE

ZIP

EMAIL:

DAY PHONE:

(             )

CELL PHONE:

(             )

Mail or Drop Off:

Online Registration

St. Ann's Family Fair

www.active.com

Attn:  Race Directors

1906 Texas Ave.

Search Phrase

Midland, TX 79701

St. Ann's "5k to the Fair"

I AM PARTICIPATING IN THE:

(if under 18 include School Name)

Kid's Miracle Mile( under 15)

"5K to the Fair" FUN RUN

10K OLD MIDLAND ROUTE

SCHOOL:

MY T-SHIRT SIZE IS:

Youth Small

Adult Small

Adult X-Large

Youth Medium

Adult Medium

Adult XX-Large

Youth Large

Adult Large

REGISTRATION FEES:

Pre-Registration $20

Late/Race Day $20

(received after  Sept. 20th)

EMERGENCY CONTACT:

(        )

NAME

PHONE NUMBER

WAIVER OF CLAIM (MUST BE SIGNED): In consideration of this entry, I , the undersigned, assume full and complete responsibility

for any injury, illness or accident which may occur during my participation in the St. Ann's 5K to the Fair Fun Run/ Kid's Miracle Mile

or while I am on the premises of this event,and I hereby release and hold harmless the sponsors, promoters, and all other persons

and entities associated with this event from any and all injury or damage, whether it be caused by negligences of the sponsors

or promoters or persons or entities associated with this event. Further, I grant full permission to use my photographs, videotapes

or recordings of this event for any legitimate purpose.

SIGNATURE OF PARTICIPANT OR PARENT/GUARDIAN