North Junior High VIKING TREK 3.6K FUN RUN Wednesday, May 27, 2015 Registration PLEASE COMPLETE ALL INFORMATION: 6:00 p.m. First Name:________________________________ Last Name:________________________________ Race Sponsored by: Age:________ Phone:______________________ Address: __________________________________ City:______________ State:______ Zip:________ School Name_________________teacher/team__________ Student : Adult: Family of 4: $10.00 $______________ $25.00 $______________ $60.00 $______________ 1 _____________ 2______________ 3______________ 4______________ *Scholarship Donation: $______________ **Raffle Tickets $5 or 5/$20 $______________ Name:______________________ Phone:______________________ Total Enclosed: $______________ I realize that running a road race is a potentially hazardous activity. I understand that I should not enter and run unless I am medically able. I am aware of the risks and hazards and I accept them. I have read this waiver and I release the sponsors from any liability as a result of my participation in this event. Signature: (parent or guardian if under 18 years old): ________________________________ Mail in application to or drop off in elementary school office: Deliver to: The Viking Trek Ronald Scott, Science Teacher c/o North Junior High School Julie McCabe, Main Office 1105 N 13th Street Boise, ID 83702 Email: [email protected] [email protected] Finisher Gift: Each Race Participant will receive a “Viking Trek Race “ water bottle *Scholarship Donations are appreciated to sponsor students/families who feel unable to participate because of financial resources. No one will be denied to right to participate. **Raffle tickets – need not be present to win as long as contact info is provided. Raffle -- great prizes donated by local businesses. North Junior High VIKING TREK 3.6K FUN RUN Wednesday May 27, 2015 6:00 p.m. The class with the most race participants wins a Popsicle party AND a free pair of running shoes from Bandanna Running for your teacher! don’t forget to write the name of your school and teacher on your registration form!