Santa Stroll 5K Run/Walk December 7, 2013

Register online: https://secure.getmeregistered.com/SantaStroll

Registration/Donation Form For entry by mail send form and check payable to: Kaufman Junior High 3701 S. Houston Street Kaufman, Texas 75142

Name ________________________________________________ Address ______________________________________________ City _________________________ State _______ Zip ________ Phone (H) ____________________ (W) _____________________ Email ________________________________________________ Male Female Date of Birth ___________ Age __________ *T-Shirt (youth) S M L *T-Shirt (adult) S M L XL XXL *T-Shirts are guaranteed through early registration only. They will be available the day of the race on a first come first serve basis. Entry Fee (non-refundable) $10 KISD Student $15 Early Registration (through Dec 1) $20 Race Day Registration (Dec 7) Cash Check (payable to Kaufman Junior High) Waiver/Release-Signature Required
In consideration of this entry, being accepted, I hereby for myself, heirs, executers and administrators waive and release any claims that I may have against Kaufman ISD, the City of Kaufman or any of the sponsors involved in the Santa Stroll 5k Run/Walk. I certify that I am physically able to participate in this event.

Date ______ Participants Signature ______________________________ Parent/Guardian Signature (if under 18)____________________________

For more information visit www.SantaStroll.com