Help Children Get Books!                 
           Sept 11, 2010          
When:
7:00am- Registration opens
8:00am- 1.5 Mile Walk
8:30am- 5K Run

Pre-registration:
First adult family member- $15
Each additional family member- $10
Military, Police, Firefighters, and
College or K-12 Students- $10

Where:
Floral Park
Opelika, AL


Run Day Registration:
    First adult family member- $18
Each additional family member- $12
    Military, Police, Firefighters, and
College or K-12 Students- $12

Run winners will be awarded medals and all walkers will receive ribbons
Snacks • Goody Bags • Awards • T-shirts for all Participants • Lots of Fun!
Door Prizes include North Carolina Mountain Vacation in June 2011, Celebrity Guests
from Auburn University and Lee County. Inflatable’s and 50 yard Dash for Children.
Bring your family and friends! Help make a difference in children’s lives!
 

Run to Read (Sept 11)

ONLINE REGISTRATION FORM

You may use your VISA, Master Card, American Express, Discover, BANK, or PayPal to register online    -or-

for offline registration, download and return this form and your check payable to:

Jean Dean RIF, % PO Box 848, Opelika, AL 36803-0848

Participant 1
 5K Run     1 Mile Walk  (no extra charge for participation in both)
 Check here if discount applies (Military, police, firefighters, K-12 and college students)
Name:     Age:    T-shirt size: 
Address: 
City:   State: Zip:      Phone:  ( )  - 
Email Address:  
A trophy will be given to the club/school/business with the most participation
I would like to register with the club/school/business (not required):

Participant 2
 5K Run     1 Mile Walk  (no extra charge for participation in both)
Name:     Age:    T-shirt size: 
 Check here if contact info is the same as participant 1
Address: 
City:   State: Zip:      Phone:  ( )  - 
Email Address:  
A trophy will be given to the club/school/business with the most participation
I would like to register with the club/school/business (not required):

Participant 3
 5K Run     1 Mile Walk  (no extra charge for participation in both)
Name:     Age:    T-shirt size: 
 Check here if contact info is the same as participant 1
Address: 
City:   State: Zip:      Phone:  ( )  - 
Email Address:  
A trophy will be given to the club/school/business with the most participation
I would like to register with the club/school/business (not required):

Participant 4
 5K Run     1 Mile Walk  (no extra charge for participation in both)
Name:     Age:    T-shirt size: 
 Check here if contact info is the same as participant 1
Address: 
City:   State: Zip:      Phone:  ( )  - 
Email Address:  
A trophy will be given to the club/school/business with the most participation
I would like to register with the club/school/business (not required):

Participant 5
 5K Run     1 Mile Walk  (no extra charge for participation in both)
Name:     Age:    T-shirt size: 
 Check here if contact info is the same as participant 1
Address: 
City:   State: Zip:      Phone:  ( )  - 
Email Address:  
A trophy will be given to the club/school/business with the most participation
I would like to register with the club/school/business (not required):

Participant 6
 5K Run     1 Mile Walk  (no extra charge for participation in both)
Name:     Age:    T-shirt size: 
 Check here if contact info is the same as participant 1
Address: 
City:   State: Zip:      Phone:  ( )  - 
Email Address:  
A trophy will be given to the club/school/business with the most participation
I would like to register with the club/school/business (not required):


I would like to make an additional tax-deductible donation to Jean Dean Reading is Fundamental of $

 Total: 
 

* Online registration ends at 5:00pm Sept 10 (the day before the race). Registration can still be done in person starting at 7:00am on Sept 11.