To register for the 2008 Hollandfest Run, just complete this form, staple
the registration check to it, and mail it to:

Julie Teunissen
N. 926 Hwy KW
Cedar Grove, WI 53013

Please make checks payable to HOLLAND GUILD.
One participant per form, please.
This form may be printed and copied.

Full Name: 		_______________________________________________________


Street address: 	_______________________________________________________


			_______________________________________________________


City: 		__________________ State: ____ Zip: __________-________


Phone number:	Day: (____) _____-_______   Night: (____) _____-_______


Age: _____	Sex (circle one):  Male    Female


Event (circle one):  10-K Run    2 Mile Run    2 Mile Walk

Fee:
Pre-registration is strongly encouraged. T-shirts guaranteed only if pre-registered. Official placement not guaranteed unless registration is completed by 8:00 a.m.

Amount Enclosed (circle one):	$12.00 (before July 7)
			       
			       	$15.00 (after July 7)

			       	$50.00 Immediate Family (pre-registration
							only; living in
							same house, maximum of 5)


T-shirt Size (circle one):	Child 10-12    Child 14-16    Adult Small    
			
				Adult Medium   Adult Large    Adult XL    
	
				Adult XXL

I enter this race at my own risk and will not hold the Village of Cedar
Grove, the race officials, or any sponsor responsible for any injuries
I may receive.
I give permission for my name,age, city and state. Or my minor child's
name,age, city and state to be included in the results on the web page.


WAIVER:  Signed_______________________________________________________
	       	signature of participent of legal guardian if
	       	participant is under 18