Print this page [one for each participant] and mail it in!

AGSD Fun Run/Walk Registration


Name ______________________________________________________________

Address _____________________________________________________________

City ________________________________ State _______ Zip ________________

Telephone (______)________________________________


We will have T-shirts for everyone who raises the $25.00 “entry fee”.
T-shirts are only guaranteed if registered by August 25th.  All T-shirts will be ordered based on our receiving your entry fee and registration form. Make out checks to AGSD.


T-shirt Size:
(Please check and circle one)

 

 Child

S

M

L

 

 

 

 Adult

S

M

L

XL

XXL


Send all entry fees & registration forms to: 

Mary Carpenter

    

53867 Kershner Lane

 

Elkhart, IN 46514-9241

 maryc @ agsdus.org


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URL: www.agsdus.org      Web site last updated on November 9, 2008.
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