Saturday, October 25, 2008 -- Morgantown, WV / Caperton Rail Trail, Star City
3rd Annual Alpha Phi Race for Your Heart 10K/5K-MAGP Endurance #8 (iPO Event Id#: 10824)

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REGISTRATION FEE:

• $15.00 if post marked by Monday, October 6, 2008
• $20.00 after October 6, 2008 and Race Day

CHECKS PAYABLE TO: Alpha Phi

MAIL TO: Alpha Phi Race c/o Alpha Phi Fraternity, 261 Willey Street, Morgantown, WV 26505

10K RUN  □     5K RUN  □      5K WALK  □           Male:  □  Female:  □

Name:____________________________________________________________________

Address:_________________________________________________________________

_________________________________________________________________________

Phone:(________________)____________________________________________

Age on October 25, 2008:__________ Birth Date:________________________

T-Shirt Size (circle  one):    S      M      L      XL

In consideration of your acceptance of my application in the Alpha Phi Race for Your Heart 10K & 5K Run and 5 K Walk, I, for myself and everyone entitled to act on my behalf, waive and release the Beta Iota Chapter of Alpha Phi Fraternity, Alpha Phi International, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event.

Signature of 
Entrant (Required)     X_________________________________________ Date:___________

Signature of 
Guardian (if under 18) X_________________________________________ Date:___________