Jack-O-Lantern Jog Registration - October 28, 2023
or online at https://www.active.com/canonsburg-pa/running/distance-running-races/jack-o-lantern-jog-nightmare-on-elm-street-2022
Must be postmarked by October 21, 2023.
Name_____________________________________________ Phone _________________________________
Address _______________________________________________________________________________________
City ___________________________________ State _______ Zip code __________________
Email _________________________________________________________________________________________
PERMISSION TO PHOTOGRAPH AND PUBLISH PHOTO.
I hereby grant permission for any photo taken of me during the race to be used on the Community Scholarship Foundation of Canon-McMillan's website, Facebook page and in any and all press releases
Signature ________________________________________________ (parent/guardian if under 18)
Shirt Size: Youth M ______ Youth L ______ Adult S____ M _____ L _____ XL _____ XXL_____
Registration 5K Race/Walk Entry @ $28.00 pre registration each _______
Registration Skeleton Stroll @ $23.00 preregistration each (not scored) _______
Subtotal _________
TOTAL __________
Make checks payable to: CSFCM (Community Scholarship Foundation of Canon-McMillan) Send Entry to CSFCM, PO Box 559, Canonsburg, PA 15317.
Questions email: jackolanternjog@gmail.com