Registration Form
Oaklake Trails
5K Run, Walk, or Crawl
September 20, 2008 - 2:00 PM

  • Fill out this form with your browser, print it, sign, and mail to:
    Oaklake Trails
    24601 Milfay Rd #1
    Depew, OK 74028
  • $20 if entry is postmarked by September 1, 2008. $25 after September 1, 2008.
    Make checks payable to Oaklake Trails. Current Oaklake Trails members may deduct $5.

 

 

 

 

First Name

Last Name

Address

City

State

Zip

 

E-Mail

Phone

Age on
Sept 20

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

Gender

 Male  Female

 

 

T-shirt

 M     L    XL    XXL ($2 extra for XXL shirts)

 

 

 

Dinner

 Please check box if you will be staying for dinner. Pay when you arrive at OLT.

 

 

 

 

 

 

 

 

 

 

 

 

If bringing a spouse or significant other as a volunteer, please enter their name below:

Volunteer:

 

 

 

The following waiver must be signed and submitted with registration:

WAIVER OF CLAIM

In consideration of the acceptance of this entry, I, the undersigned, assume all risks and full and complete responsibility for any injury or accident which may occur during the Oaklake Trails 5K Fun Run or while I am on the premises of the event, and I hereby release and hold harmless the sponsors, promoters, and all other persons or entities associated with the event from any and all injury or damage and liability, whether it be caused by negligence of the sponsors, promoters, and other persons, or entities associated with the event, or otherwise. I also authorize Oaklake Trails Naturist Park, Inc. personnel permission to select the location for any medical treatment I might need in case of injury.

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 Runner’s Signature                                               Date

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Guardian’s Signature (if runner is under 18 years of age on September 1, 2008)           Date