Luminaria Run Logo and Header

Javas

Javascript DHTML Drop Down Menu Powered by dhtml-menu-builder.com

 

Supporting Sponsors

 

 

 

 

 

 

Cave Creek Luminaria Run REGISTRATION FORM:

This form.  Hit SUBMIT, then print and sign the confirmation form.
Make check payable Black Mountain Elementary School PTO (BMESPTO) and
mail entry to: Stagecoach Village Luminaria Run ~ 1963 E. Kentucky Lane, Tempe, AZ 85284

Last Name:  

Address: Apt./Suite: 

City:    State: Zip:

Phone:    Date of Birth:

 Email Address:

 

Family Members:

Family Member #1:

  First Name:  Gender: male    female    Age: 

Event:  3.58-Mile Run/Walk   2-Mile Fun Run/Walk   Little Kid's Desert Dash  Big Kid's Desert Dash

Adult T-Shirt Size: XL   Child's T-Shirt Size:  Child Small  Child Medium

 

Family Member #2:

  First Name:  Gender: male    female  Age:

Event:  3.58-Mile Run/Walk   2-Mile Fun Run/Walk   Little Kid's Desert Dash  Big Kid's Desert Dash

Adult T-Shirt Size: XL   Child's T-Shirt Size:  Child Small  Child Medium

 

Family Member #3:

  First Name:  Gender: male    female  Age:

Event:  3.58-Mile Run/Walk   2-Mile Fun Run/Walk   Little Kid's Desert Dash  Big Kid's Desert Dash

Adult T-Shirt Size: XL   Child's T-Shirt Size:  Child Small  Child Medium

 

Family Member #4:

  First Name:  Gender: male    female  Age:

Event:  3.58-Mile Run/Walk   2-Mile Fun Run/Walk   Little Kid's Desert Dash  Big Kid's Desert Dash

Adult T-Shirt Size: XL   Child's T-Shirt Size:  Child Small  Child Medium

 

Family Member #5:

  First Name:  Gender: male    female  Age:

Event:  3.58-Mile Run/Walk   2-Mile Fun Run/Walk   Little Kid's Desert Dash  Big Kid's Desert Dash

Adult T-Shirt Size: XL   Child's T-Shirt Size:  Child Small  Child Medium

 

Family Member #6:

  First Name:  Gender: male    female  Age:

Event:  3.58-Mile Run/Walk   2-Mile Fun Run/Walk   Little Kid's Desert Dash  Big Kid's Desert Dash

Adult T-Shirt Size: XL   Child's T-Shirt Size:  Child Small  Child Medium

 

PRICING -- Please make sure you include pricing for EACH family member.  Family form does not offer discount -- just easier registration.  ONLY Those registered by Jan. 14 are guaranteed a t-shirt.

Category

Early Entry
(Postmarked by Nov. 13, 2009)

Entry
(Postmarked
after Nov. 13, 2009)

Day-Of
 

Fill in Amount

racelab Member
4 Mile Run/Walk

$16.00

$22.00

$25.00

Non-racelab Member
4-Mile Run/Walk

$18.00

$22.00

$25.00

2-Mile Fun Run Walk

$15.00

$20.00

$25.00

Children (ages 12 & Under)
ANY EVENT

$  5.00

$ 5.00

$ 5.00

Student (ages 13 - 17)
ANY EVENT

$  8.00

$10.00

$10.00

Tax Deductible Donation (to Black Mountain Elementary School PTO)*

 

 


 


TOTAL


  Check #

 

 

 

2009 Sponsors

 

 

 

 

 

 

 

In-Kind SPONSORS:

Big Earl's Greasy Eats, Indian Village, Watermill Express, Southwest Barricades