ARE YOU AN ELITE RUNNER?

Are you ready to put your money where your mouth is ... I mean, legs are?



Race for your share of the $5,000 total cash purse!




ELITE RUNNER ASSISTANCE REQUEST FORM
If you are an elite runner seeking travel or room assistance, please submit your information to the form below. Travel and room assistance will be issued on a first come first serve basis.

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Runners Link


The 2012 Las Vegas 5K
Date: Saturday, May 12, 2012
Hours: 8:30 am Start Time
Location: Town Square Mall (NW Parking Lot)
* Name:

* Birth Date:

* Gender:
Male
Female

* Email Address:

*Country of Residence:

Affiliation/Sponsor:

Website URL:

Example: http://www.yoursite.com

* 5K Personal Best (PB):
(Min) : (Sec)

Are you seeking Travel Expenses?:
Yes
No

Are you Eligable for Prize Money?:
Yes
No

Comments / Message:


* Digital Signature:
To digitally sign this form, simply type your full/legal name in the space above.