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SATURDAY, APRIL 12, 2008 @ THE UNIVERSITY OF Registration and Medical Waiver Form
 

Summary: SATURDAY, APRIL 12, 2008 @ THE UNIVERSITY OF
HOUSTON
Registration and Medical Waiver Form
Please read carefully all information. Print clearly. Pre-register by March 29th
. One entry form per person.
Make checks payable to UH Army ROTC.
All proceeds will benefit UH Army ROTC Student Scholarship Fund.
Last name _____________________________ First Name ______________________
Address ______________________________________________________________________
City ________________________ State__________ Zip Code _________________
Male ___ Female___ Age at race day ____ Phone and/or email ____________________________
Please Circle Event: 5K Run 5K Walk T-Shirt - Adult sizes only S M L XL
Emergency Contact Person ____________________________________________
Relation __________________ Phone ______________________________
Race Information
Pre-registration Entry Fee: Due by March 29th
$15 Registration Entry Fee
($10 with proof of military or veteran ID)
Start/Finish Line @ Hofheinz Pavilion
Schedule:

  

Source: Azevedo, Ricardo - Department of Biology and Biochemistry, University of Houston

 

Collections: Biology and Medicine; Environmental Sciences and Ecology