registration - Northwest Landing ROA

Proudly Sponsored by McNamara’s Pub & Eatery
DUPONT PARKS AND RECREATION ANNUAL
SHAMROCK FAMILY
WALK, RUN & ROLL
Saturday, March 15
10am at Anytime Fitness
1525 Wilmington Drive
All participants will receive a green
balloon at registration. Upon
completion of the walk, pop your
green balloon to see if you won one
of many great prizes! First 50
families will receive a goodie bag
packed with snacks and ideas for
healthier living.
Put on your best green
digs and join the fun!
REGISTRATION
$5 KIDS
$8 ADULT
$25 FAMILY
Register at the event or Mail to: City of DuPont, 1700 Civic Drive, DuPont, WA 98327
The entire course is paved. The short walk turns around at the Civic Center (2 miles).
The long walk turns around at Intel (3.4 miles).
BROUGHT TO
YOU BY:
PROUDLY
SPONSORED BY:
PUB & EATERY
Est. 2009  DuPont, WA
City of DuPont DuPont Parks & Recreation
Annual Shamrock Family Run, Walk & Roll
Proudly sponsored by McNamara’s
DATE:
Saturday, March 15th
TIME:
10:00 am, all participants
LOCATION:
Anytime Fitness
1525 Wilmington Drive
REGISTRATION: Mail to: City Hall
ATTN: Shamrock Walk
1700 Civic Drive
DuPont, WA 98327
(Or register at the event. Participants who
register prior to the event receive a raffle ticket for a St. Patrick’s Day basket!)
Walk Day Events: All participants will receive a green balloon at registration. Upon
completion of the walk, pop your green balloon to see if you won one of
many great prizes! First 50 families will receive a goodie bag packed with
snacks and ideas for healthier living. Put on your best green digs and join
the fun!
COST:
$5.00 Kids, $8.00 Adult, or $25 per family
COURSE:
The entire course is paved. The short walk turns around at the Civic Center
(2 Miles) The long walk turns around at Intel (3.4 miles)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PLEASE DETACH HERE- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Event/Class Name: Shamrock Walk
Fee: $5 Kids $8 Adult Family $25
(One registration form per participant, please)
QUESTIONS:
Parks & Recreation (253) 912-5245
Participant’s Name:________________________________________________________________
Address: ________________________________________________________________________
City /State / Zip ___________________________________________________________________
Phone:__________________________Email:___________________________________________
Guardian Information (if minor) _______________________________________________________
Emergency Contact:______________________________________Phone: ____________________
Waiver: In consideration for my entry, I intend to be legally bound, for myself, my heirs, executors, and administrators,
and waive, release and forever discharge any and all rights and claims which I may hereafter have against the
sponsors and officials of the class described in this entry form or their respective officers, agents, representatives,
successors, and/or assigns, while traveling to and from or participating in this class. Further, I hereby grant permission
to any and all of the foregoing to take any photographs, video tapes, recordings or any other record of this class for use
for any legitimate purpose.
X ______________________________________________________________________________
Participant’s Signature (or guardian if minor)
Printed Name
Date