TEAM SIGN-UP SHEET
Friends of PACER’s Run, Walk, Roll Against Bullying
Saturday, September 28, 2019 | Mt. Normandale Lake, Bloomington, MN
19 and older: $20 | Ages 7 – 18: $10 | 6 and under: Free
Team Name: _____________________________________________________________________________________
Primary Contact: _________________________________________________________________________________
Name
Phone
Email
Participant Name
Age Group:
19 and older,
7 – 18,
6 and under
4.0 Run or
2.0 Walk / Roll
Gender
(Required for
4.0 Run
participants only)
T-Shirt Size:
Youth S, M /
Adult S-XXL
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Send Completed Form to:
PACER Center (Attn: Jackie Saffert)
8161 Normandale Blvd, Minneapolis, MN 55437
-OR- email to Jackie.Saffert@pacer.org
Payment Options:
 Individually (cash/checks)
*Please collect and mail individual payments in one envelope
 One Group Payment (credit card/check/online)
For more information on group registration, please contact Jackie Saffert:
Jackie.Saffert@pacer.org | 952-838-1315 | www.pacer.org/bullying/nbpm/runwalkroll/
Participant Name
Age Group:
19 and older,
7 – 18,
6 and under
4.0 Run or
2.0 Walk / Roll
Gender
(Required for
4.0 Run
participants only)
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
For more information on group registration, please contact Jackie Saffert:
Jackie.Saffert@pacer.org | 952-838-1315 | www.pacer.org/bullying/nbpm/runwalkroll/
T-Shirt Size:
Youth S, M /
Adult S-XXL