Alpha Phi Omega 4th Annual 5K Fun Run/Walk
Official Registration and Sponsor Form
Name:___________________________
Street Address:__________________________City:_______________ State:____ Zip:_______
Phone: _________________ ; Sex: F M Age:______
Organization:___________________________
I understand, hereby accept full responsibility
X____________________________
for any harm, bodily or otherwise, which I may &
nbsp;
(signature)
incur while participation in the
A Phi O 5K Fun Run/Walk.
T-shirt Size
: M
L XL
Make all checks payable to: Alpha Phi Omega
Registration fee is $15, but you can collect as much
as possible to benefit
Make A Wish Foundation
| Sponsor's Name | Address | Phone # | Dollar Amount |
| &nb sp; | |||
Thank you for your particpation :-) &nb
sp;
Total Donations: _____________________