The Ray Perkins Memorial Race
5K Certified Run
1 Mile "Fun" & Survivor Walk
Date: Sunday, September 29, 2002
Place: Raritan Valley Community College, Branchburg, New Jersey
Pre-Registration Form (print, fill out and mail to address listed below)
| Name | _______________________________________________________________________ |
| Address | _______________________________________________________________________ |
| City, State, ZIP | _______________________________________________________________________ |
| Phone: | _______________________________________________________________________ |
| Age ____ Sex: ____ |
|
| I am unable to participate, but will make a donation of $____________ | |
Make checks payable to (do not send cash):
APCaP
c/o Terry Roe
12 Redwood Road
Martinsville, NJ 08836
Phone: (732) 271-1248
Fax: (732) 271-8322
PRIZES * REGRESHMENTS * FAMILY FUN!