September 11, 2001 Memorial 5K Registration Form

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Crawl, Hop, Walk, Run or Skip in remembrance of the events that transpired on September 11, 2001.

Send your $25.00 registration check and registration form or other form of payment to: Veterans Law Student Association

PO Box 942 South Royalton VT, 05068

What's your name?

Do you know your average 5k run time? If so please write it down.

Feel free to estimate.

Provide an email address so race day information can be sent.

Or if you're a member of the community and would like our updates.

What size of shirt do you need.

Small-Extra Large. Extra Extra Large will cost $2.00 more.

Small

Medium

Large

Extra Large

Other:

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What other things should we have/encourage?

Name any other suggestions.

Automated External Defibrillators (AED)

Different category races (kids, seniors, professors, pets, fun run, etc.)

A raffle at the sign-in table

Spotters at each turn to make sure no one gets lost

Local veterans groups with booths (DAV, VFW, AL, etc.)

Local recruiters with booths

Other:

I hereby authorize Vermont Law School and the Veterans Law Student Association to publish photographs taken of me on September 11, 2015, and my name and likeness, for use in the Vermont Law School and Veterans Law Student Association print, online and video-based marketing materials, as well as other publications associated with Vermont Law School and the Veterans Law Student Association. Print Name ____________________ Signature ____________________

Since this is an online registration form there is no need to sign. Please type your name below.

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