1. Participant's Name. 2. 3. Street Address. 4 ... or call (207) 774-6304. Visit us on: Facebook: www.facebook.com/SAWel
Sponsor Form Participant's Name Street Address City
State
Zip
Day Phone
Evening Phone
Email Address
Event Info Date: July 31st, 2017 Start Time: 7:30am Entry Fees: $25 pre-race registration by 7/28 $30 Race day registration Online Entry: RunSignUp.com/SAFreedom5K
# 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Name
Address/Email Address
Pledge
TOTAL:
Wick Tee Shirts For The First 150 Paid Registrants
Proceeds to benefit the Anti-Human Trafficking Programs of The Salvation Army. For inquiries about The Salvation Army’s Anti Human Trafficking Ministries in Portland, please contact Jenny Clark at
[email protected] or call (207) 774-6304. Visit us on: Facebook: www.facebook.com/SAWellFight Twitter: www.twitter.com/WellFight