Print Registration

Proceeds will benefit the 12U Thibodaux Thunder Baseball Team and will be used to
attend the Hall of Fame Invitational Tournament in Cooperstown, New York
Pre-register by: 2/6/2015
(guaranteed a t-shirt)
Date: 2/21/2015
Entry Fees:
Registration: 7:00 AM
$25 pre-registration
$30 race Day Registration
1 Mile Fun Run: 8:00 AM
5K Run/Walk: 8:15 AM
(make checks payable to Thibodaux Thunder)
Donation
(if you are not able to participate but
would like to make a donation)
Location: Peltier Park
Thibodaux, LA
For More Information Contact: Jason Templet: 985-803-0372, e-mail: thibodauxthunder@gmail.com
1 Mile Fun Run
T-shirt size:
S
M
L
YS
YM YL
XL
XXL
5K Walk/Run
Name
YXL
Address
By signing below, I hereby waive any and all claims for
damages that may arise against the promoters or sponsors
of this race, or any entity involved, in regard to any and all
injuries or loss of property which may be suffered by me
while traveling to or from, or participating in, this event. I
attest that I am physically fit and sufficiently trained to
participate in this event..
Mail form and entry fee to:
Thibodaux Thunder
c/o Jason Templet
266 Meadow View Ct
Thibodaux, LA 70301
Phone
Sex
Age on race day
Signature
Date
Signature of parent or guardian if under 18 years of age.
Date