Mail to:
AA Sports, Ltd.
4836 SW Western Ave
Beaverton, OR 97005

Event (Choose One)
Individual
T-shirts not included in entry fee. (Commemorative T-shirts are available for $8 and guaranteed if order received by Nov. 22nd.)
- Individual - 5.2 Mi Run / for runners only, $22 received by Nov 22nd Individual - 3.75 Mile Run / for runners only, $17 received by Nov 22nd Individual - 2.5 Mile Run/Walk $15 includes commemorative walk pin, received by Nov 22nd Individual - 5.2 Mi Run / for runners only, $27 received after Nov 22nd thru DOR Individual - 3.75 Mile Run / for runners only, $22 received after Nov 22nd thru DOR Individual - 2.5 Mile Run/Walk $20 includes commemorative walk pin, received after Nov 22nd thru DOR

Team (5 Person) (Each team member must complete an entry form. Please mail them together with payment.)
T-shirts not included in entry fee. (Commemorative T-shirts are available for $8 and guaranteed if order received by Nov. 22nd.)
- 5 Person Team - 5.2 Mi (for runners only) $90 per team received on or before Nov 22nd 5 Person Team - 3.75 Mi (for runners only) $70 per team received on or before Nov 22nd 5 Person Team - 2.5 Mi Run/Walk $65 per team received on or before Nov 22nd 5 Person Team - 5.2 Mi (for runners only) $115 per team received after Nov 22nd thru DOR 5 Person Team - 3.75 Mi (for runners only) $95 per team received after Nov 22nd thru DOR 5 Person Team - 2.5 Mi Run/Walk $90 per team received after Nov 22nd thru DOR

Commemorative T-Shirt $8 (guaranteed if order received by Nov. 22nd.)
- Yes - $8 No - $0

First Name / MI / Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy

Age

Gender - Female Male

Phone

Email

Division (Individual) - 12 years & younger 13 - 15 years 16-19 years 20 - 24 years 25 - 29 years 30 - 34 years 35 - 39 years 40 - 44 years 45 - 49 years 50 - 54 years 55 - 59 years 60 - 64 years 65 - 69 years 70 years & over

Team Type - High School Middle School Corporate Open

Team Gender - All Male All Female Mixed [must include two (2) females]

Regional High Schools (Show team spirit - if connected to a school select one you would like to win the school challenge.)

- Albany - South Albany High School Albany - West Albany High School Corvallis - Corvallis High School Corvallis - Crescent Valley High School Jefferson - Jefferson High School Lebanon - Lebanon High School Philomath - Philomath High School

Regional Middle Schools (Show your team spirit - if connected to a school select one you would like to win the school challenge.)

- Albany - Calapooia Middle School Albany - Memorial Middle School Albany - North Albany Middle School Corvallis - Ashbrook Independent School Corvallis - Cheldelin Middle School Corvallis - Linus Pauling Middle School Jefferson - Jefferson Middle School Lebanon - Seven Oak Middle School Philomath - Philomath Middle School


* Team Name (20 characters or less)

* Teammates Names (Including Self):

1.
2.
3.
4.
5.

T-Shirt Size (If t-shirt is ordered.)
- S M L XL XXL (add $3.00)

Check #....................Amount Enclosed


WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
OFFICIAL WAIVER: I acknowledge that a Multi-Sport Event is an extreme test of a person's physical and mental limits and carries with it the potential for death, series injury, and property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am capable of completing all disciplines of the event, and that I am physically fit and that I have sufficiently trained. I agree to abide by the competitive rules. I hereby take the following action for myself, my executors, administrators, heirs, next to kin, successors and assigns, or anyone else who might claim or sue on my behalf, and I hereby waive, release and discharge from any and all claims, losses, or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, or theft which may arise out of or relate to my participation in this event. I agree not to sue, and to hold harmless any and all persons, sponsors, volunteers, participants or government agencies for any and all claims or liabilities that I have waived, released or discharges herein. The Entry Fee is Non-Refundable/Non-Transferable.

Type Full Name


Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age of 18)

Date________________________________________