Commerce Chamber Of Commerce
Bois d’Arc Bash 5K Run/Walk
Sat. Sept 23

Downtown Commerce
In front of Beacon Chiropractic
1205 Washington Street

Registration and Warm-up begin at 6:45am

Race starts at 7:30am

Return this form to the Commerce Chamber of Commerce: 1114 Main Street, PO Box 290, Commerce, TX 75429. It must be received at the Chamber by Thursday September 21st. On-site registration will be available the day of the run.

 

Name____________________________________ PHONE_____________

Address: Street/Box__________________________City__________State________Zip_______

Please Check:
Entry Fee:

___Race only: $6

___Race & T shirt: $16

Size shirt (circle one): S M L XL

Gender:

___Male ___Female

Age Category:

___Under 19 years of age ___ 40-49 years of age

___20-29 years of age ___50 years and over

___30-39 years of age

First, second, and third place winners in each category will be recognized.

Entry deadline is 7am on September 24 th, 2005.

Hold Harmless Agreement

Neither the Commerce Chamber of Commerce or the City of Commerce assumes any responsibility or liability for any loss or damages to any person by action or inaction by the Chamber of Commerce of the City of Commerce and the participant agrees to indemnity and hold harmless damages, expenses or losses arising there from. It is agreed that consideration herein expressed is conditioned on the foregoing indemnity and assumption of liability of the participant.

 

Date_________________ Signature_______________________________________