Shamrock Shuffle - Hartford Union High School
Shamrock Shuffle - Hartford Union High School
Shamrock Shuffle - Hartford Union High School
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H a r t f o r d U n i o n H i g h S c h o o l<br />
A t t n : J a y n e F r a n c i s<br />
8 0 5 C e d a r S t .<br />
H a r t f o r d , W I 5 3 0 2 7<br />
REGISTRATION FORM<br />
Name: ______________________________<br />
Address: ____________________________<br />
___________________________________<br />
Phone: ____________________________<br />
Email: _____________________________<br />
Age: ___________<br />
Gender: M F<br />
2012 GIRLS TRACK TEAM<br />
2012<br />
<strong>Shamrock</strong><br />
<strong>Shuffle</strong><br />
Event: 5K 1 mile<br />
Tshirt size: YS YM YL<br />
S M L XL XXL<br />
Waiver: I know that running a road race is a<br />
potentially dangerous activity. I should not enter unless<br />
I am medically able and properly trained. I assume<br />
all risks associated with running in the event. I<br />
waive and release <strong>Hartford</strong> <strong>Union</strong> <strong>High</strong> <strong>School</strong>, race<br />
officials/volunteers, and the City of <strong>Hartford</strong> from all<br />
claims and liabilities of any kind arising out of participation<br />
by me, or any of my minor children in this<br />
event. I am eligible for competition.<br />
5K Run/Walk<br />
1 mile Run/Walk<br />
Signature:<br />
____________________________________________<br />
Parent Signature (if under 18):<br />
____________________________________________<br />
Saturday, March 17th<br />
8:00 am
WIN A PRIZE FOR<br />
SHOWING THE BEST<br />
ST. PATRICK’S DAY SPIRIT!<br />
DATE:<br />
Saturday, March 17th, 2012<br />
LOCATION:<br />
<strong>Hartford</strong> <strong>Union</strong> <strong>High</strong> <strong>School</strong><br />
Main entrance<br />
SCHEDULE:<br />
7:00—7:45 Registration<br />
8:00 Race begins<br />
Awards/refreshments will follow race.<br />
QUESTIONS:<br />
Contact Coach Francis<br />
(262)670-3280<br />
jayne.francis@huhs.org<br />
COST:<br />
Preregistered runners—$12.00<br />
Day of race—$15.00<br />
Checks payable to: HUHS<br />
All proceeds benefit <strong>Hartford</strong> Girls Track Team<br />
REGISTRATION:<br />
Complete all registration information and<br />
mail to:<br />
<strong>Hartford</strong> <strong>Union</strong> <strong>High</strong> <strong>School</strong><br />
ATTN: Jayne Francis<br />
805 Cedar Street<br />
<strong>Hartford</strong>, WI 53027<br />
Additional registration forms can be found on<br />
the HUHS Girls Track and Field Website:<br />
http://www.huhs.org/page.cfm?p=603<br />
DEADLINE:<br />
Registration must be received by<br />
Wednesday, March 7th to receive a<br />
t-shirt. Any registration forms received<br />
after this date will not receive a t-shirt.<br />
AWARDS:<br />
Medals will be given to the top 5 male<br />
and female finishers in both the 5K and 1<br />
mile race.
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