ONLINE REGISTRATION FORM: Register online by April 10, 2008, and then mail the $15.00 fee to the address below (or bring it on the day of the race). After this date, registration will not be available online. You may register the day of the race or on campus. Make checks payable to Kappa Kappa Gamma. Tar Heel Trot 302 Pittsboro St. Chapel Hill, NC 27516 Please complete this form and submit your registration. Once you have submitted your registration, you must mail your registration fees to the above address or bring them with you on the day of the race. Name: Address: City: State: Zip: Email: How did you hear about Tar Heel Trot? Are you a breast cancer survivor or are you currently battling breast cancer? Yes No Would you like to recognize anyone who is currently battling or has survived breast cancer? Please list their name(s). Age: Sex: Male Female T-shirt Size: X-Large Large Medium Small Waiver: By submitting this form I know that participating in a road race is a potentially hazardous event. I assume all risks associated with with this race, including, but not limited to: falling, contact with other participants and inanimate objects, the weather, all being known and appreciated by me. Having read this and knowing these facts, I, for myself, agree to waive and release all sponsors, agents, employees, officers, directors, and volunteers working for entities from all claims and any liabilities of any kind, arising out of or related to my participation in this race, including the liability which may arise out of negligence or carelessness on the part of the persons named in this waiver. I agree to these terms