In conjunction with

"Airport 5K" Registration Form

As a reminder the location of the event is at the Greater Rochester International Airport. Directions and location will be announced at a later date. Please note: *There is no access to the race from the airport terminals*

Please register me for:   5K Race Runway Walk Kids Fun Run
Name:
Address:
City/St/Zip:
Phone (H):
Phone (W):
Fax:
E-Mail:
For T-Shirt give-a-way, we will try our hardest to provide participants in the Race and Walk with the requested shirt size, although we cannot guarantee the size will be available. Please indicate adult shirt size preference:
Small Medium Large Extra Large
Walker's Fundraising Goal:	$
Runner's Entry Fee: $17 (Pre-register through June 23, 2010). After June 23rd, the entry fee will be $20. On-line registration closes on Thursday, June 24, 2010 at 11:59 pm. Runner's Age on Race Day: Gender: Male Female Winners must be present to collect awards. Checks can be made out to: The Lifetime Assistance Foundation 425 Paul Road Rochester, NY 14624

Walkers- Help us reach our fundraising goal by striving for $30 in pledges ($15 for children 5 to 12 years of age). Children under 5 years are free. To be eligible for prizes, all WALK participants must collect pledges. Register your corporate team. Wear your company apparel and promote your business! Team photos will be taken.

Runners- If you raise $50 in pledges, we will waive your race entry fee

Minimum Pledge for Children 5 - 12 is $15
For Children under 5 (FREE)

You can print out a pledge sheet after you submit this form.  To have one mailed to you, please check the box below. Please verify your mailing address above to ensure you receive the form.

Mail me a pledge sheet