Granite City 5K Registration  

Name: _____________________________________________________ Birth date:_______________  Age on Race Day: ______

Gender: Male ___  Female ___   School grade attending in the Fall: ____ If high school, which high school:_____________________

Email:___________________________________________________________

T-Shirt Size:  Small _____   Medium _____   Large _____   X-Large _____            

Enclose entry fee $12 postmarked by July 25, 2008; $15 after July 25, 2008; $5 discount for SCRR members.  
OPTIONAL: SCRR membership $20.  Make check payable to SCRR and mail to Sharon Hobbs at 1936 Tyrol Dr. St. Cloud , MN 56301 .

WAIVER (required for entry) In consideration of the acceptance of my entry I do hereby release any and all sponsors, race directors, 
volunteers, and others associated with the race from any and all liability from illness or injury that I may suffer as a result in this race, 
regardless of negligence.  I certify that I am properly trained for this race and I assume risks related to accidents, weather, temperature, and course condition.

_____________________________________          ____________________________________            ______________

Participant (signature)                                                        Parent/Guardian (signature)                                             Date

*must also be signed by parent/guardian if under 18

Additional Registration forms available at www.scrr.org and www.raceberryjam.com .