e Snowflake Derby e
“Where everyone goes home with mud on their shoes and a smile on their face!”
All Proceeds benefit the University of Southern Indiana Cross Country and Track & Field Programs
All Pre-registered entries must be received by December 6th, 2003.
Race Day Registration: $15
Registration runs from 8:30-9:45 AM on race day in PAC 200.
Knit running caps will be distributed to late registrants on a first come, first serve basis. If supplies run out, we will mail them to all participants as soon as possible.
Food: Krispy-Kreme doughnuts, Buck’s Pizza, and fruit courtesy of Schnuck’s West.
Name__________________________ Sex Male____ Female____
Age (as of 12/13/03) _________
Address__________________________________ City______________ State ____Zip______
Mail completed form to: Mike Hillyard, University of Southern Indiana, 8600 University Blvd, Evansville, IN 47712. Make checks payable to University of Southern Indiana.
In consideration of the acceptance of my entry, I for myself, any executors, administrators and assignees, do hereby release and discharge the University of Southern Indiana, Vanderburgh County, the State of Indiana, all sponsors, and all employees and officers of the aforementioned organizations for all claims of damages, demands, and actions whatsoever in any manner arising or growing out of my participating in said athletic event. I attest and verify that I am physically fit and sufficiently trained to participate in this event.
(Note: Parent of guardian must sign if applicant is under 18)