First Name:   Middle Initial:
Last Name:  

Male Female

Age (on5-10-2008   Date of Birth:

Address
Street:
City:  
State:   Zip Code:
Phone:
Email:

In case of emergency, Contact: Name:
Phone:

Event: 5K Run/Walk 2K Fun Run / Walk		Shirt Size: Medium Small Youth Lg Large XLarge XXLarge
thru 5-8-2008 Franklin Township Employee	$15
thru 5-8-2008 Franklin Township Student	$10
thru 5-8-2008 Franklin TownshipFamily 2 Adults/3 children separate entries attached	$50
InShapeIndiana Member with shirt	$15
2K Fun Run with shirt	$10
Note School:
Open entries thru 5-8-2008	$20
Open entries(No  Shirt ) thru 5-8-2008	$15
After 5-8-2008 shirts not guarnteed	$25
Open entries thru 5-8-2008	$20
Open entries(No  Shirt ) thru 5-8-2008	$15
After 5-8-2008(No  Shirt )	$20

Release and Waiver

I have read the accompanying event information and understand the policies of the event. I know that running and walking a road race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run or walk. I also know that while police protection will be will be provided, there may be traffic on the course. I assume all risks associated with my voluntary participation in this event, including but not limited to, falls, contact with other participants, the effects of weather, including extreme temperatures, traffic and all conditions of the road, all such risks being known and appreciated by me. Knowing these facts, and in consideration of your accepting my entry, I for myself, my heirs, WAIVE, RELEASE AND DISCHARGE Franklin Township Schools, Franklin Township Education Foundation, al l sponsors, the City of Indianapolis, race officials, workers or volunteers and their executors, administrators or anyone else who might claim on my behalf, covenant not to sue their representatives, successors or assigns for ANY AND ALL claims or liability, whether foreseen or unforeseen, for death, personal injury or property damage arising out of, or in the course of my participation in this event. I further grant full permission to the above mentioned sponsor(s), organizers and/or agents authorized by them, to use any photographs, videotapes, motion pictures, recordings or other record of the event for any reasonable purpose.

I have read, understood, and accept the agreement above. My submission of this form shall act as my legal signature.
Initials of: registrant if over 18 years of age; or parent/legal guardian of minor, incapacitated, or mentally challenged person

Fill out form in full, print and sign entry form, and then mail form and
check or money order payable to
Franklin Township Educational Foundation
Mail to:
Fast Flash 5K * 2008
c/o Runners Forum of Carmel
620 Station Drive
Carmel, Indiana 46032