Ranch Run Sign Up

Individual RUNNER

Registration Participant Name _______________________________________________________________

Male

Female

Telephone # _____________________ E-mail ______________________________ Date of Birth___________________Age_________ Parent Name (if under 18) _______________________________

T-SHIRT SIZE:

CATEGORY: Competitive

YL

M

XL

Participation

S

L

XXL Staff Use Only

Registration Date: _______________________________________________________________

Select Registration Option (TSR Complex Employees Discount= 1/2 off fee):

COMPETITIVE Early Bird Entry Fees (Paid BEFORE 11/10/17): Kids 12 & Under: $27 Adults 13+: $35

COMPETITIVE Regular Entry Fees (Paid on or AFTER 11/11/17, Before 11/18): Kids 12 & Under: $37 Adults 13+: $45

PARTICIPATION Early Bird Entry Fees (Paid BEFORE 11/10/17): Kids 12 & Under: $22 Adults 13+: $30

PARTICIPATION Regular Entry Fees (Paid on or AFTER 11/11/17, Before 11/18): Kids 12 & Under: $32 Adults 13+: $40

PARK WAIVER VERIFIED BY:__________________________

Receipt stapled to this form: ________

PAID:_________ TRANSACTION NUMBER:_________

Total Due:

$_______

TEAM ADD-ONS (Registrant must have existing team registration in progress)

Participant Name _______________________________________________________________

Male

Female

Telephone # _____________________ E-mail ______________________________ Date of Birth___________________Age_________ Parent Name (if under 18) _______________________________ TEAM TO ADD YOU TO: _______________________________________________________________ T-SHIRT SIZE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Staff Use Only

Registration Date: _______________________________________________________________

Select Registration Option (TSR Complex Employees Discount= 1/2 off fee):

TEAM ADD-ON Early Bird Entry Fees (Paid BEFORE 11/10/17): All Ages (Price Per Person)

$22.50

TEAM ADD-ON Regular Entry Fees (Paid on or AFTER 11/11/17, Before 11/18): All Ages (Price Per Person)

PARK WAIVER VERIFIED BY:__________________________

Receipt stapled to this form: ________

$30.00

PAID:_________ TRANSACTION NUMBER:_________

Total Due:

$_______

TEAM Registration TEAM REGISTRATION Early Bird Entry Fees (Paid BEFORE 11/10/17): All Ages (Price Per Team)

$90

(Payment Valid for up to 4 Runners) TEAM ADD-ON Regular Entry Fees (Paid on or AFTER 11/11/17, Before 11/18): All Ages (Price Per Person) $120 (Payment Valid for up to 4 Runners)

TEAM NAME: ____________________________________________________

1.

Participant Name _______________________________________________________________

Male

Female

Telephone # _____________________ E-mail ______________________________ Date of Birth___________________Age_________ Parent Name (if under 18) _______________________________

T-SHIRT SIZE: ________

2.

Participant Name _______________________________________________________________

Male

Female

Telephone # _____________________ E-mail ______________________________ Date of Birth___________________Age_________ Parent Name (if under 18) _______________________________

T-SHIRT SIZE: ________

3.

Participant Name _______________________________________________________________

Male

Female

Telephone # _____________________ E-mail ______________________________ Date of Birth___________________Age_________ Parent Name (if under 18) _______________________________

T-SHIRT SIZE: ________

4.

Participant Name _______________________________________________________________

Male

Female

Telephone # _____________________ E-mail ______________________________ Date of Birth___________________Age_________ Parent Name (if under 18) _______________________________

T-SHIRT SIZE: ________ Staff Use Only Registration Date: _______________________________________________________________ Select Registration Option (TSR Complex Employees Discount= 1/2 off fee):

CHECK HERE FOR ADDITIONAL PARTICIPANTS

Number of additional team members: ________

Total Due:

TEAM ADD-ON Early Bird Entry Fees (Paid BEFORE 11/10/17): $22.50 All Ages (Price Per Person) TEAM ADD-ON Regular Entry Fees (Paid on or AFTER 11/11/17, Before 11/18): All Ages (Price Per Person)

$_______

PARK WAIVER VERIFIED BY:__________________________

PAID:_________ TRANSACTION NUMBER:_________

$30.00

Receipt stapled: ________