STooPiD Run
Entry Form
DATE OF BIRTH:
m___/d___/y____ SEX: M__ F__
LAST NAME: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
FIRST NAME: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
STREET
ADDRESS: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
CITY:
ZIP: |__|__|__|__|__| PHONE#: (____)|__|__|__-__|__|__|__|
E-MAIL: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
T-SHIRT
SIZE: S___ M___ L___ XL___
OPTIONAL:
DINO SINGLET
or SOCKS (not included with entry – see below) SIZE: S___ M___ L___ XL___
TEAM/SPONSOR:
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
OCCUPATION:
_______________ STOOPID TIDBIT ABOUT YOURSELF: _____________________________
Total
Paid: ____
PRICES per event
|
ITEM |
Early* |
Slacker** |
|
Race Entry |
$25 |
$35 |
|
DINO Singlet |
(Pyro Apparel) - $25 |
|
|
DINO Socks |
DeFeet Air-e-ator $5 --- DeFeet Woolie Boolie $10 |
|
*Early Registration must be received one week
before the event (June 26).
**Slacker Registration is available from June
27 through race morning ending 7:59:59 am.
ALL RUNNERS MUST SIGN A LIABILITY
RELEASE FORM AT THE RACE VENUE.
Mail entry with check payable to: DINO LLC,
Or register online
For the most complete and updated (but stoopid) information: www.DINOseries.com
DINO Hotline (317)336-7553 e-mail
Brian10@DINOseries.com