First Name:
Last Name:
Male                                   Female
Age:                               Date of Birth:

5k Run:
5k Walk:
5k Wheelchair:

Adult Shirt Size:
Small                                     X-Large  
Medium                                 XX-Large  
Large                                    Youth Large (14-16)  

Standard Waiver (Must be signed by all participants!): I know that running a road race is a potentially hazardous activity, which could cause injury or death. I should not enter and run unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, am in good health, and am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with running in this event, included but not limited to falls, contact with other participants, the effects of the weather, including cold, heat and humidity, traffic, and the conditions of the road all such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, skates or blades, animals, and radio/tape/CD headsets are not allowed in the race and will abide by this guideline. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Pensacola Runners Association Inc., Road Runners Club of America Inc., any city, county, state, and national government entity responsible for areas used in conjunction with this event, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of persons named in this waiver.  Further, I grant permission to all the foregoing to use my name and images of myself in any photographs, motion pictures, results, publications or any other print, video graphic, or electronic record of this event for legitimate purposes.  I have read the above release and understand that I am entering the 2007 Seafood Run at my own risk.
Signature:
Date:
( Signature of parent or guardian if entrant is under 18)

Make check payable to: PRA
Mail to: PRA
Seafood Festival Run
P.O. Box 10613
Pensacola, Fl 32524

Early Registration until September 7, 2007
PRA members: $13 Non-members $15
Youth groups: Contact the race director for group prices and registration forms as early as possible and no later than September 9.
Families:  First 3 entries pay regular rate -all other family members pay $5 each
Late registration: ( Sept 8 - Sept 21)
All categories $20
Race Day All categories $25 until 7:15 AM
Special Late Race Day Sign Up $50 7:15 to Race Start/Limit to 10 racers. Details in race description

*shirts guaranteed to all early registrants
with a limited number available for late registrations...estimating no shirts available
on race day

Race Director: Bob Kelly
seafood@pensacolarunners.com
850-484-5230

Address:
City:
State: Zip Code: