BREW TO BREW 43.5 MILE RELAY RUN, SUNDAY APRIL 2, 2017: APPLICATION & WAIVER
DESCRIPTION: A point to point relay (or solo) race consisting of 10 legs of about 4 miles each. Teams may have from 2 to 10 persons. For a shorter distance choose the Six Leg Special.
Use this paper form as a worksheet then
Bring to Packet Pick up, Saturday afternoon from Noon to 5pm, from 5:30 to 9:30am,
inside the Roasterie at 1204 W 27th Street, Kansas City MO 64108.
Teams up to 10 people max. A minimum tax deductible donation of $10 is included in each runner’s fee. Registration does not include apparel, beer, or food.
Team Name________________________________________________________ Circle your type of Team: 2 Person, Military, 6 Pack Special, All Male, All Female,
Co-ed/Open, Race Walkers or Generous (must donate additional $200.00 to CF)
Solo and Slow teams start at 6:00am
Six Pack Special start at 9:00am
All others circle your requested time: 8:40 8:50 9:00 9:10 9:20 9:30
Limit: 20 runners per time slot, all earlier times are filled
Team Captain___________________________________________________ Address_____________________________________________ City _________________Zip________________
Email_______________________________________________________________Cell #________________________________________ Home # __________________________________
After
3/2
SS
Tee
Cap
Food
Beer
1
$50
$10
$6
$12
2
$50
$10
$6
$12
3
$50
$10
$6
$12
4
$50
$10
$6
$12
5
$50
$10
$6
$12
6
$50
$10
$6
$12
7
$50
$10
$6
$12
8
$50
$10
$6
$12
9
$50
$10
$6
$12
10
$50
$10
$6
$12
Runners name
M/F
Age
Email
Gift
to
CF
Total
Fees
Shirt
Size
Total $ _________________
Signature