registration

Perrine Bridge Festival 20 EVENT REGISTRATION: 14 Run * Bike * Paddle & 5k Run/Walk Saturday— September 6, 2014 Run * B...

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Perrine Bridge Festival 20 EVENT REGISTRATION: 14 Run * Bike * Paddle & 5k Run/Walk

Saturday— September 6, 2014 Run * Bike * Paddle

5k Run/Walk

7:30 am start @ Centennial Park Packet pickup 7:00 am

8:30 am start @ Visitor Center Packet pickup 8:00am $25 before 8/15 or $30 after

$40 Individual / $100 Team before 8/15 $50 Individual / $120 team after BYOB—Bring your own bike

Paddle—Bring your own or Pryor Rentals will be available Register if needed—No cost—donations welcome

----------------------------REMOVE AND RETURN BOTTOM PORTION ONLY

NAME: (please print) _______________________________________ ADDRESS: ____________________________________

CITY: ____________________ ST/ZIP: _________________

CONTACT PHONE: ________________________________________ RACE CHOICE: (CIRCLE ONE)

SHIRT SIZE: (CIRCLE ONE)

EMAIL: _______________________________

AGE: __________ SEX: ___________________

Run * Bike * Paddle Individual

$40 (before 8/16)

$50 late

Run * Bike * Paddle Team

$100 (before 8/16)

$120 late

5k Run/Walk

$25 (before 8/16)

$30 late

Youth— S M L XL

Adult— S M L XL

XXL

(Entry must be received by 8/16/13 to receive t-shirt on day of event) KAYAK RESERVATION:

YES _____

NO _____

*All participants will be required to sign a Release of Liability and Waiver prior to the start of the event(s).

REGISTER ONLINE AT: www.perrinebridgefestival.com

OR

RETURN ENTRIES TO: Denise Metcalf, c/o HUB Int’l 157 River Vista Pl Twin Falls ID 83301

All proceeds raised for the Perrine Bridge Festival Events will go to the St. Luke’s Magic Valley Health Foundation’s “Children With Special Needs Fund.” Money raised is used to help children with special needs through grants for physical therapy, speech therapy,