individual registration

Grand Prix Top Ten

Mailable Registration Form

Name Last
First

Address
Apt

City
State Zip

Day Phone
Evening

email

Sex
Age on Race Day

T-Shirt Size

I am running as a

See below!

I have read the waiver statement and show my agreement by my signature.

Participant________________________________ Parent (of a minor)__________________________

Fees

Early Bird (Before Race Day) $30.00

Race Day $35.00

Print out this form and bring or mail with your check, payable to Grand Prix of Running, to:

Runners Roost

121 N. Tejon

Colorado Springs, CO 80903

During race week we are at the Runners Roost, so do not stop by the office.