Name _______________________ Age on Race Day _______ Date of Birth ___________
Address ______________________________
City/State/Zip _________________________ email _____________________
Male ___ Female ___ Shirt size: XS ____S___ M____ L____ XL____
How did you hear about us?_____entry mailed to me _____previous participant ____online calendar ____MDRA
____local newspaper _____website searches _____ friend or co-worker ____other
Preregister early to guarantee t-shirt on race day
$15 before June 12
$20 after June 12 and on race day
Online Registration at: www.riverrat5krun.zapevent.com
Send Registration Form and Check to:
River Rat Run, 10904 Harvest Rd., Little Falls, MN 56345
For more information please call: Jacki 320-632-8993 or Chamber of Commerce 320-632-5155
email: devine@clearwire.net
Waiver of Liability: I hereby enter this event at my own risk and waive any claims for damages or injuries that I might incur as a result of my participation in this event against any sponsor, director, employees, or officials. I attest that I am physically fit to complete this event.
Signature of Participant ______________________________ Date _________________
Signature of guardian if under 18 _______________________
