STooPiD Run
Entry Form
AGE: _____ 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