Race Entry Form -  June 19, 1999

Last Name ________________  First Name ____________________
Address ____________________________________  Home Phone (___)___________
City____________________________ State____________ Zip Code ________   M  F
Age on Race Day _________________________ T-Shirt Size (Circle one) S  M  XL   XXL

Check one only:
_____ 5K Run/Walk ($15 before June 5th ... $18 after June 5th)
_____ Complimentary Entry - Raise $50 or more for RARTL Committee Inc., Education Fund and your entry is complimentary ( enclose pledge card with money collected)
_____ Optional Donation to RARTL Committee Inc. Education Fund

Total Amount Enclosed _____ (make all checks payable to: RARTL Committee Inc. Education Fund) (A donation is tax deductible)

Release Form:  In consideration of this entry, I hereby for myself, executors and administrators, release, indemnify and hold harmless any and all claims I may have against RARTL Committee, Inc., the country of Monroe, and all individuals associated with this event, their representatives, successors, and assigns for any and all injuries caused by negligence or any other cause in connection with this event, including pre-event and post-event activities.  I have been warned that I must be in good health to participate in this event and attest that I am physically fit and have trained sufficiently for this event.  I am aware of the risks, including risk of injury associated with this event and  I assume those risks by participating in this event.   I hereby grant RARTL and its authorized agents to use my name and photograph, video tapes, recordings and any other record of my participation in this event for any purpose.
UNSIGNED ENTRIES WILL NOT BE ACCEPTED.
Applicant's Signature ______________________________ Date ____________
Parent's Signature required if under 18 years old ___________________________

Mail entries with checks to: RARTL Committee Inc. Education Fund
    675 Ling Rd., Suite 3, Rochester, NY 14612
For more information contact: Bob/Paige Burke at 716-44207119 or RARTL Office at 621-4690

Optional Pledge Form 
Family Fun Run/Walk    June 19, 1999
To Benefit The Rochester Area Right to Life Education Committee

Directions:  Enter sponsor names and donation amounts below. Send this card with the money to:

RARTL Committee, Inc.
635 Ling Road, Suite 3
Rochester, NY, 14612
                or bring it with you on race day.

Runner/Walker Name _________________________
Address _________________________  City ____________  State  _____   Zip ________
Phone Number _____________________

Sponsor Name                             Address                                             Amount $
1 __________________________________________________________________
2 __________________________________________________________________
3 __________________________________________________________________
4 __________________________________________________________________
5 __________________________________________________________________
6 __________________________________________________________________
7 __________________________________________________________________
8 __________________________________________________________________
9 __________________________________________________________________
10 _________________________________________________________________
11 _________________________________________________________________
11 _________________________________________________________________
12 _________________________________________________________________
13 _________________________________________________________________
14 _________________________________________________________________
15 _________________________________________________________________

Thank You For Your Support!!!

Proceeds from the 1999 Family Fun Run/Walk will be used to benefit the Rochester Area Right to Life Committee Education Fund which is involved in the following activities: Provides literature and audiovisuals about fetal development, abortion, infanticide and euthanasia to individuals, schools, churches and civic groups. Publishes a bi-monthly newsletter summarizing issues and activity information for distribution to individuals and groups requesting it. Advertises to inform the public and increase awareness of life issues.

The Rochester Area Right to Life Education Committee Inc.
Family Fun Run/Walk 1999
Make checks payable to: RARTL Committee Inc., Education Fund
Donations are Tax Deductible!!!