ECI School for Children 5K

Thank you for applying on line!
This application page will re-open June 1, 2008

First Name M. Last Name	*
Street Address w/ Apt. #	*
City, State, Zip Code	*
E-Mail Address	*
10 digit Phone Number	* Ext.
Gender	*
Age on Race Day	*
	Check this box if you are an SFC Student.

Liability and Publicity release: Please accept my entry in the 2007 ECI-SFC 5K Run Walk. I hereby state I have conditioned myself to participate in this event. I, for myself, my executors, administrators and assignees, do hereby release and discharge Educational Collaborations, Inc., the Borough of Eatontown, officials, sponsors and volunteers from damages of injuries occasioned by my participation in the ECI-SFC Run Walk. I also authorize the ECI-SFC officials to utilize my name as well as any photographs and video tape of my participation in the ECI-SFC for any and all purposes. By signing my name below, I hereby certify that I have read all the terms and conditions of this release and do intend to be legally bound thereby.
Late on line registration ONLY September 10, 2006 through Noon on September 15, 2007
$3.00 Late fee for 5k races.

Please submit a separate entry form and payment for each participant.

ORDER ENTRY FORM
Please check ONE event box only.

Cost

Quantity

Total

5K Run
3K Walk
Kid Races (separate races for age and abilities)
Please select your T-Shirt Size

Please accept my tax-deductible contribution in the amount of

to ECI School for Children

Total amount due

You must click 'Validate Application' then 'Process Order' to finish your registration/order.

Click Here for race brochure in pdf format. (Application on brochure need not be returned if you register online here)