JEAN DEAN RIF
SECOND ANNUAL RUN TO READ
OCTOBER 3, 2009

REGISTRATION OPENS    7:00am
ONE-MILE WALK    8:00am
5K RUN    8:30am

1105 FITZPATRICK AVE, OPELIKA
PRE-REGISTRATION: $15 ($10 if discount applies)
DAY OF RACE REGISTRATION: $18 ($12 if discount applies)
** Special discount for: additional family members, military, police, firefighters, and students (K-12 and college) **

ALL PROCEEDS BENEFIT JEAN DEAN READING IS FUNDAMENAL
FOR MORE INFORMATION, PLEASE CONTACT
RICH BAILEY, RUN DIRECTOR AT (334) 663-2197 OR richatAU@aol.com OR
CATHY GAFFORD, RIF DIRECTOR AT (334) 749-5631 OR jeandeanrif@bellsouth.net

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 NC Mountain Vacation in June 2010!
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Run to Read (October 3)

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)
 Check here if discount applies (Additional family member, military, police, firefighters, K-12 and college students)
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)
 Check here if discount applies (Additional family member, military, police, firefighters, K-12 and college students)
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)
 Check here if discount applies (Additional family member, military, police, firefighters, K-12 and college students)
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)
 Check here if discount applies (Additional family member, military, police, firefighters, K-12 and college students)
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)
 Check here if discount applies (Additional family member, military, police, firefighters, K-12 and college students)
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: