Run
for Those Who Roll!
Bank of America Chicago Marathon, Sunday, Oct. 12, 2008Runner Signup Sheet
Please
register with the Marathon office then complete this form and send it
to:
Spinal Cord Injury Association of Illinois
1032
S. LaGrange Road
LaGrange,
IL 60525
708-352-6223
Yes, I want to run Bank of America Chicago Marathon as part of the Run For Those Who Roll team and agree to put forth my best effort to raise a minimum of $250 to help the Spinal Cord Injury Association of Illinios.
Marathon Entry Date _____________ Confirmation Number_______________________
First
Name_____________________ MI _______ Last _______________________
Signature _______________________________________________________________ Date _______________________________
Birth
Date _____________________ Age on Race Day _________ Gender -
F
M
Address
______________________________________________________________
City
_____________________ State _______________ Zip Code _______________________
Day
Phone _____________________ Evening Phone ________________________
Fax
__________________________ Cell Phone _____________________________
E-mail
_______________________________________________________________
Mark
one:
First Marathon - # Prior Chicago
Marathons
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