Make checks payable to:

Our 2 Angels Run/Walk

Mail entry form to:
Kerry Gertz
42 School Street
S. Hamilton, MA 01982

Pre-entry $20 (postmarked by 5/8/09), Post-entry $25.

Registration Form (Please print)

(Official use only)

[________________]

Mail to Kerry Gertz, 42 School Street, S. Hamilton MA 01982 (checks made payable to the “Our 2 Angels Run/Walk.”) Postmarked by May 8, 2009 for pre-registration rate.

Last Name:_______________________________________ First:_________________________________ MI:_______ Age:________

Street:___________________________________________ City______________________________ State______ Zip:____________

Gender: M / F (circle one) Phone: (________) _____________________________ 2m Walk or 5k Run:_____________

T-shirt size(check one): Small _____ Med._____ Lg._____ XL_____

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Signature

________________
Date

__________________________________________
Parent's Signature if under 18

Please feel free to copy this race application and invite family and friends to join us!
If you are unable to join us, or wish to make an additional donation for this amazing cause, we welcome you to send it to the same address above. Your support is greatly appreciated!