A rally on Samford lawn will follow from 11:30-1:00

Please print and return this form for race entry. Entry fee: $10.00. T-shirt Included.

To receive a t-shirt without running / walking the 5K, submit this registration form w/ entry fee. Pick up shirt at beginning or end of race (or we can deliver within reason). Please attend the Rally on Samford Lawn.

Make checks payable to AU AAUP.

Mail to: Dr. Martin T. Olliff

Special Collection and Archives Department

RBD Library

231 Mell Street

Auburn University, AL 36849-5606

Only one participant per form.

Name:_________________________________Male:______Female:_______

Address:__________________________________________________________

City:_____________________State:_____Zip:_________________

Age:________Date of Birth:_______________T-Shirt Size: M L XL 2XL

If applicable: Campus Organization / Team Name:______________________

Phone Number:___________________ or E-Mail: _______________________________

Entries are non-refundable and non-transferable.

Waiver/Release Form

In consideration of my participation as entrant or competitor in this event, I, my heirs, executors, successors, administrators and assigns do release, remise and forever discharge, waive and same harmless, protect and keep indemnified Auburn University, Auburn University Libraries, and other affiliated associations, sanctioning bodies, sponsoring companies, participants, competitors, entrants and all of their respective agents, officials, servants, and representatives from and against any and all kinds of actions, claims, costs, and expenses and demands in respect of death, injury, loss or damage to my person or property howsoever caused arising out of my being permitted to attend at in any way take part prior to, during or subsequent to this event whether as a spectator, participant, competitor, entrant or otherwise and not withstanding that the same may have contributed to or occasioned by the negligence of any of the aforesaid, their agents, officials, servants or representatives.

By submitting this entry, I acknowledge having read and agreed to the above waiver release and indemnification.

____________________________________________________________

Signature (Parent or Guardian if underage)Date