Saturday September 26, 2015 @ 10:30am - Crossfield Fire Hall
Registration Deadline: 4:30pm Wednesday September 23, 2015
Name:
Distance:
1.2km or
5km
Name:
Distance:
1.2km or
5km
Name:
Distance:
1.2km or
5km
Name:
Distance:
1.2km or
5km
Name:
Distance:
1.2km or
5km
Mailing Address:
Phone #:
Email:
Additional Registrations (same immediate family):
13 & up @ $30/person = $
12 & under @ $20/person = $
Family (3 - 5 immediate family members) @ $60/family $
Total: $
I agree to allow the Town of Crossfield to take pictures of me/my family for marketing & promotional purposes.
I understand and acknowledge that personal injury, property damage, or possible death may occur during my (or my
child's) participation in Town of Crossfield recreation programming. I hereby agree that the Town of Crossfield, its
employees, contractors, and volunteers shall not be held liable for any personal injury, property damage, or death
however arising from my (or my child's) participation in Town of Crossfield programming.
Participant or Parent/Guardian Signature:
Date:
**Fun Run Event Information - Please Detach for your Reference**

Saturday September 26, 2015 @ 10:30am - Crossfield Fire Hall

This is a family-friendly, fun event with all proceeds being raised to support the Crossfield Fire
Department’s Christmas Food Hampers

Run, walk, ride your bike, roller blade, push a stroller

Registration includes: Beef on a bun, refreshments, bandana or frisbee, kids medal

1.2km for younger kids (10:30am); 5km for anyone that wants to try it (11:00am)