3rd Annual Mountain Area Bloom Run, 2012 - Benefiting Rivergold Athletics and runner's school of choice
10K Run - $30.00
Age Group
5K Run - $30.00
Age Group
2 Mile Fun Walk

When checking out online please note that under your shipping address please type the participant's name and preferred shirt size so we can prepare their event bag.

Mountain Area Bloom Run/Walk, mail in registration form below if not using online registration.
Please print and fill out the form below, and send in with payment made out to Rivergold PTA to be pre-registered for the race. Send registration and payment to 40770 lONG HOLLOW DR , Coarsegold, CA, 93614.  Please fill out completely and clearly.

Deadline for receiving pre-registration is May 18th. Deadline for Internet payment through Pay-Pal is May 20th.  The run will go rain or shine, sorry no refunds.
2 mile fun walk pre-registration $25

   male___ female___  shirt size circle one - adult   SM   MED   LARGE   X-LARGE   2X
                                                                   youth  SM   MED   Large

10K Run pre-registration $30
   male ___ female___   shirt size circle one - adult   SM   MED   LARGE   X-LARGE  2X
                                                                     youth  SM   MED   LARGE   X-LARGE  2X

Age on race day
0-10___ 11-19  ___ 20-29 ___ 30-39 ___ 40-49 ___ 50-59 ____ 60- older___ 

5K Run pre-registration $30
   male ___ female___   shirt size circle one - adult  SM   MED   LARGE   X-LARGE  2X
                                                                    youth  SM   MED   LARGE

Age on race day

0-10___ 11-19____ 20-29___ 30-39 ___ 40-49 ___ 50-59 ____ 60-older___

Mail in pre-registration papers

City________________________________________State______ Zip_________________
Phone(best available)___________  E-mail ____________________________

Shirt Size (circle) - Youth Sm, Youth M, Youth L,  Adult Sm,  Adult M,  Adult Lg,  Adult XLg,  Adult 2XLg
All participants must read and sign the California State PTA Parent's Approval and Student Waiver and Participants Waiver on the morning of the event prior to participating.  

Pre-registered participants will automatically be entered into race day raffle, must be present to win.
Additional raffle tickets may be purchased during the event. 1 ticket/$1 or 25 tickets/ $20.  You won't want to miss your opportunity to win some great prizes. (See raffle items.)

AWESOME breakfast burritos and fruit will be provided to all participants!!!!!!

Thank you for supporting a healthy way to raise money.  We know a healthy body means a healthy student.

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