Turn UP the Volume!  2007 Registration form                                                       

Each participant MUST turn in a completed entry form and signed waiver. 
Form may be duplicated. You can also register online at www.tuxbro.com

Mail-in registration form must be postmarked by September 24, 2007. 
Mail with fees to:  Tuxedo Brothers, 6265 Boone Ridge, Zionsville, IN 46077.  Make registration check payable to “Tuxedo Brothers.”

Name ________________________________________       Age on 9-29-07                    Male    Female

Address ___________________________________              City ____________________State ______ Zip                                

Telephone (          ) __________                           _  E-Mail   _                                 _________                       _

 Ovarian Cancer Survivor                                  Wheel chair participant

T-shirt Size:    Child SM    Child M    Child L     Adult SM     Adult MED    Adult L    Adult XL    Adult 2XL

Entry Type:           4-Mile Competitive Run                    3-Mile Walk                        1-mile Family Walk         

             Individual:                                                                                                                                              $     20.00

             Team Member:                    Team Name _____________________________                    $     18.00

             Child, age 10 and under    Team Name (if applicable)________________________             $     10.00

             Child, age 10 and under, without T-shirt  Team Name _______________________                 FREE

             Race-day registration (individuals and team members)                                                            $      22.00

             I wish to donate to Ovar’coming Together                                                                                      $  ________

TOTAL AMOUNT ENCLOSED                                                                                                                           $  ________

Method of Payment:            □ Check   □ Visa   □ MasterCard  

Credit Card Number ________________________________________             Exp. Date ___________________

Name on Credit Card ______________________________________ Signature on waiver is approval for credit card

I have read the accompanying event information and understand the policies of the event. I know that running and walking a road race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run or walk. I also know that while police protection will be provided, there may be traffic on the course. I assume that all stakes associated with my voluntary participation in this event, including but not limited to falls, contact with other participants, the effects of the weather, including extreme temperatures, traffic and all conditions of the road, all such risks being known and appreciated by me. Knowing these facts and in consideration of your accepting my entry, I for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue and WAIVE, RELEASE AND DISCHARGE Ovar’coming Together, Victory Field, Tuxedo Brothers, Inc., and the City of Indianapolis, race officials, workers or volunteers, their representatives, successors or assigns for ANY AND ALL claims of liability, whether foreseen or unforeseen for death, personal injury or property damage ensuring out of or in the course of my participation in this event. I understand that I will be using a Champion Chip timing device and must return it upon completion of the event or pay $30 to the organizer. I further give full permission to the above-mentioned sponsor(s), organizers, and/or agents authorized by them, to use any photographs, videotapes, motion pictures, recording or other record of the event for any reasonable purposes.

Signature of participant                                                                                                              Date                                                  

Parent or guardian if under 18                                                                                                   Date