2008 Trick or Treat Trot Entry Form
Make check payable to:
CAPRI EVENTS
Send with signed entry to:
CAPRI Events - P.O. Box 579120
Chicago, IL 60657-9120
NO REFUNDS OF ENTRY FEES. US FUNDS ONLY.

DO NOT MAIL AFTER 10/17/2008.

This form may be copied.

NO REFUNDS - CASH ONLY ON RACE DAY.

FIRST NAME

LAST NAME

STREET ADDRESS
CITY
STATE
ZIP

Work Phone: (____) _________________
Home Phone: (____) _________________

E-mail:

LaRabida Children's Hospital Contribution
I have included my tax deductible donation to the LaRabida Children's Hospital in the amount of:
$10      $20    $50    Other __________
Please enter me in one of the following categories:
5K RUN       10K RUN 
5K WALK     JR. DASH

Age on
10/26/08:
Birth
Date:

I will Supply my own chip.
CHIP CODE:

Male   Female

Technical Shirt Size: XS  S  M  L  X
Cotton Shirt Size (Jr. Dash Only) : YM  YL

RACE ENTRY FEES (Please check one)
Please check one 

By Mail, Online or at
Fleet Feet Sports
RACE DAY
(cash only)
Run or Walk
$ 30
$ 35
Dash (kids 2-12)
$ 12
$ 15
Run/Walk+Pacer
$ 40
N/A
RELEASE FORM: I am aware that participating in a running event is a potentially hazardous activity and that I and/or my child should not enter and run unless I and/or my child are physically able. I agree to abide by the rules and the decision of any event official relative to my and/or child's ability to safely compete in the event. I will provide adult supervision for my child to and from the event. I assume all risks associated with my and/or my child's participation in the 2008 Trick or Treat Trot and Walk. Including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and /or humidity, traffic, road conditions, all such risks to myself and/or child being known and appreciated by me. Having read this waiver and release from liability form, and knowing these facts, and in consideration of your accepting my entry and/or my child's entry, I for myself and/or my child, and anyone entitled to act on our behalf, waive and release Creative & Production Resources, Inc., Jim Brimm & Associates, Inc., USA Track & Field – Illinois, Lincoln Park Pacers Running Club, the City of Chicago, Chicago Park District, race day volunteers, all event sponsors, their representatives and successors from all claims or liabilities of any kind arising from my participation and/or my child's participation in this event.
Signature __________________________ Date ________ Parent's
Signature __________________________ Date ________
If participant is under 18 as of 10/26/08
CODE: web