Registration For The Bob Cooke
Memorial Trek Against Skin Cancer!
Register Online NOW!
Make sure you send payment
for your registration
separately or on the day of the event!
Pre Register and Save!
Individual Walk Registration:
Pre Registration- $20 Includes gift bag, dinner, drinks, live entertainment and t-shirt.
*Deadline 5/14/10
Post Registration (After 5/14/10) - $25 Includes gift bag, dinner, drinks, live entertainment and t-shirt.
Family Walk Registration:
Pre-Registration $45- Includes 2 Adult t-shirts, dinner, drinks, live entertainment and 2 gift bags.
*Deadline 5/14/10
Post Registration (After 5/14/10)- $50
Includes 2 Adult t-shirts, dinner, drinks, live entertainment and 2 gift bags.
Registration Form
*Required Information for Registration
Due to the rapid growth of the event and safety concerns,
we will no longer allow bikes on the course.
It will consist of a competitive 5k run or fun walk only.
Thank you for your understanding.
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In consideration of your accepting this entry, I
hereby for myself, my heirs ,executors, and administrators, waive and release any and all rights and claims
for damages I may have against The Bob Cooke Memorial Trek Against Skin Cancer, the Advisory Council,
the City of Milford, MS Running Productions and Vandalay Timing, and all sponsors and each of their directors, officers, employees, agents, and representatives
for any and all injuries, damages and/or claims of any description which might arise out of the
2010 The Bob Cooke Memorial Trek Against Skin Cancer and all activities in any way connected
therewith. I attest that I am physically fit and have sufficiently trained for the event in which
I am participating. If you do not want to register online, please print the forms below and return
The Bob Cooke Skin Cancer Foundation, Inc.
6 Anchorage Drive
Milford, CT 06460
203.878.8648
Please feel free to print as many of these forms as
you would like.
Pass them out to friends and
family to help benefit this important cause!
If you raise $100 in pledge's you get a baseball cap!
 To view PDF files, you need the free Adobe® Acrobat® Viewer installed on your computer.
If you don't have it, you can download it for free from Adobe's Web site.
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