First Name

Last Name

Number and Street

City

State

Zip

e-mail address

Age on 7/19/08

Birthday (mm/dd/yy)

Tee-Shirt size (adult sizes)

I will participate in:

8K Race

5K Fitness Walk

Children's Fun Runs ($1 per child or a maximum of $3 per family)

Registration Fees

$15 early registration

$20 late registration

I have raised $50 + in pledges

By participating in Laurel Run, you are entitled to become a member of The Resource Center and all the benefits that membership entails. You may decline membership by checking this box.
Should you prefer to pay by check, please send a check made payable"TRC/Laurel Run" to: TRC Foundation, 880 East Second Street, Jamestown, NY, 14701

For Team Participants

Team Name

Team Captain

I know that participating in Laurel Run is a potentially dangerous activity. I should not take part in Laurel Run unless I am medically able and properly trained. I agree to abide by any decision of an official relative to my ability to safely participate in Laurel Run. I assume all risks associated with participating in this event, including but not limited to contact with other participants, falls, weather conditions, including humidity and temperature, traffic and the actions of motorists and adjoining landowners whether unintentional or intentional, and conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release waive and release The Resource Center, TRC Foundation, Inc, Laurel Run, organizers, sponsors, and volunteers and their employees, agents and successors from all claims or liabilities of any kind arising out of my participation in this event. I further grant permission to any or all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose.

By inserting my intitals I am acknowledging the above.

Online Registration