First night 5K race fundraiser

Register an Adult and Pay online Race Day Registration will take place on Thursday, December 31, 2009. 1:00-2:30 Harrisonburg Farmers Market Pavillion Packet Pickup: Pre-registered participants may pick up their packets on Thursday, December 31st at the Harrisonburg Farmers Market Pavillion from 1:00 - 2:30 PM. $20 adult through December 23 $15 child (12 and under) through December 23 $25 adult after December 23 and race day $20 child (12 and under) after December 23 and race day Please make checks payable to and mail to: Generations Crossing 3765 Taylor Spring Lane Harrisonburg, VA 22801 Shirt Size: S M L XL Entry forms must be received by Wednesday December 23, 2009 to ensure receipt of T-Shirt. Entry fees are nonrefundable and non-transferable. Shirts will not be ordered after December 23, 2009 Register and Pay online: *First Name A value is required. *Last Name A value is required. *Address A value is required. *City A value is required. *State A value is required. *Zip A value is required. *Phone 1 A value is required. *Phone 2 A value is required. *Phone 3 A value is required. *Email A value is required. *Gender: Make a selection. Male Female *Age at time of race: A value is required. years old *T-shirt size: Make a selection. Small Med Lg XLg Important - all fields with an * must be filled. Click here to register your child online OR Download the race information brochure (in .pdf format), fill out the entry form. Send registration form with payment to: Generations Crossing 3765 Taylor Spring Lane Harrisonburg, VA 22801 All proceeds go to Generations Crossing If more information is needed, call the office at: 540-434-4901.