SECOND ANNUAL SWEETPEA'S FITNESS 5K
Checks Payable to: Lily of the Valley Church
NAME:__________________________________________ GENDER:_____ AGE:_______
ADDRESS:_______________________________________ City:____________ STATE:____ ZIP:_______
EMAIL ADDRESS:_____________________________________________ PHONE:____________________
Shirt Size:_______________ (You must be within the first 50 Registered to receive this shirt)
I accept that I compete in this event at my own risk and I hereby waive and release the Event, The City of Geneva, all sponsors, contributors, supporters, volunteers and officials associated with the event from all rights and claims for any accident, injury or loss suffered as a consequence of my participation.
Date: ____ Signature:_______________________________
Parent’s Signature (under the age of 18) ____________________________
You can drop of your registration fee & form off at Buckeye Auto Sales of Geneva OR mail it to
SweetPea’s Organizer: Float Away Design LLC, 5904 Keith Dr, Madison Ohio 44057