"Starlight, Star bright...MAKE A WISH...Come True Tonight"

Alpha Phi Omega 4th Annual 5K Fun Run/Walk
Official Registration and Sponsor Form


Street Address:__________________________City:_______________ State:____ Zip:_______

Phone: _________________  ;       Sex:   F      M        Age:______


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: _____________________