Print this form and fax or mail with  check or money order.

Or go to our e application form page and submit on the web.

Write check or money order to 'Trinity 5k'.

Entry fee is $16 if postmarked by August 18, 2006.

After August 19 and race day entry is $20.

Mail to:

Trinity 5k Roadrace                         E-mail:  padreluke@aol.com

74 Joe's Hill Rd.                                   Phone:   203-748-0671           Danbury, CT 06811                                

Name:   ______________________________________________________________

Address: ______________________________________________________________

Phone:  _____________  E-mail: _______________________ Birth Date _________

Race Day Age: ____       Sex:   M   F         Shirt:    Adult:  S   M   L  XL        Kids:   M   L

                            (circle sex and requested shirt size above)

          

Select Event:   5k run __        1k Kids Fun Run ___       Health Walk __

Entrant's signature: ______________________________________________

                Signature of parent or guardian required if entrant under 18 years old

RACE IS AUGUST 26,  2006 AT 9:00

5k starts at 9:00  Kids 1k at 8:30  

TRINITY 5K ROADRACE ENTRY