Name ________________________________             Age on Race Day _______

Address ______________________________

City/State/Zip _________________________

Male ___  Female ___   Shirt size  S___ M___ L___ XL___

Preregister early to guarantee t-shirt
$15 before June 11
$20 after June 11 and on race day



Online Registration at www.active.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 _______________________