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2nd Annual Corey Classic Family Fun Run

NEW YEARS
RESOLUTION
Corey Academy
SPECIAL March 23, 2019
$16
REGISTRATION
UNTIL JAN 10ST.
Race Day Schedule

Late Registration 8:00 a.m.


5K: 1Mile: 1Mile Run/Walk 8:35 a.m.
5K Run/Walk 8:30 a.m.
Registration (Jan 11th through March 1st)
Awards 9:45 a.m.
T-Shirt Guaranteed
$20.00 Individual Awards
5K: 1Mile: Awards will be given to the 1st overall
Late Registration (March 2nd through Mar 9 ) male/female finishers and to the top
$25.00 Individual finishers in each age/gender group in 5K
5K: 1Mile:
Late Late Registration (Mar 10 through 23rd)
$25.00 Individual No T-Shirt
Register Online: 6 & Under
WWW.THEDRIVEN.NET/COREYCLASSIC2019 7-8
9-10
Registration can also be returned to Coach Tyler 11-14
Please make checks payable to: 15-19
Corey Academy 20-29
When: March 21 – 22 30-39
Time: 10 a.m. to 7 p.m. 40-49
Packet Pick-Up Where: The Runner 50-59
3535 W Pioneer PKWY 60-69
70 & Over
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Corey Classic Family Fun Run Registration (Please add additional participants on back of form)

Last Name Age T-Shirt Size Total Quantity


Youth XS
First Name D.O.B.
Youth S
E-Mail Gender Youth M Total Amount Enclosed
Street Address Cell Youth L

City Work Adult S


Adult M
$
State Zip
Adult L
I would like to be a virtual runner Yes No Adult XL
Adult XXL
(add $2.00)
Adult XXXL
(add $2.00)
Waiver of Claim: (Must be signed and submitted)
In consideration of the acceptance of this registration entry, I assume full responsibility for injury or accident which may occur during the participation in this race, or
while on the premises of this event and hereby release and hold harmless the sponsor, Arlington Independent School District and all other promoters, persons, and
entities associated with this event from all injury or damages whether it be caused by the negligence of the sponsors or promoters or entities associated with this
event or their agents or employees or otherwise. I further certify that I am in good physical condition and fully able to participate in this event. I give my permission
to AISD to use photographs for purposes of promoting AISD programs for no compensation. This is a rain or shine event, no refunds will be issued.

Signature: _______________________________________________________ (Parent or Guardian if under 18)


Additional Participants

Last Name Age Last Name Age


First Name D.O.B. First Name D.O.B.
E-Mail Gender E-Mail Gender
Address Cell Address Cell
City T-Shirt size City T-Shirt size

Last Name Age Last Name Age


First Name D.O.B. First Name D.O.B.
E-Mail Gender E-Mail Gender
Address Cell Address Cell
City T-Shirt size City T-Shirt size

Last Name Age Last Name Age


First Name D.O.B. First Name D.O.B.
E-Mail Gender E-Mail Gender
Address Cell Address Cell
City T-Shirt size City T-Shirt size

Last Name Age Last Name Age


First Name D.O.B. First Name D.O.B.
E-Mail Gender E-Mail Gender
Address Cell Address Cell
City T-Shirt size City T-Shirt size

Last Name Age Last Name Age


First Name D.O.B. First Name D.O.B.
E-Mail Gender E-Mail Gender
Address Cell Address Cell
City T-Shirt size City T-Shirt size

Please ensure total number of participants, T-Shirts and Money are annotated on front
page of registration.
Thank you!