We Supply The Fun... If You Would Like To Sponsor
The Games...
A Great Show ...
A Great Bunch Of Guys To Meet...
A Bar Tour...
And Great Food !
A Cocktail Party Or An Event?
The Black Guard Presents . . .
"2009 Run Application Ready To Be Printed"
The Black Frost 32st Anniversary
February 6-8, 2009
We Supply The Fun... If You Would Like To Sponsor
The Games...
A Great Show ...
A Great Bunch Of Guys To Meet...
A Bar Tour...
And Great Food !
A Cocktail Party Or An Event?
cgabrooks@juno.com
or
blackguardmpls1@juno.com
APPLICATION FORM
* * * CIRCLE ONE * * *
Banquet Only - $ 35.00 per person
Bus Tour Only - $ 10.00 per person
Run Only $ 109.00
(Includes Bus Tours -- Our Show -- After Hours Parties -- NO ACCOMMODATIONS)
RUN PACKAGES
Single Room $285.00
2 To Room $205.00
One Bed or Two Beds
3 To Room $175.00
4 To Room $165.00
*Roommate Names for 2, 3, or 4 Per Room Must Be Registered Together
Once Listed ... No Changes
2. _________________________
3. _________________________
4. _________________________
Banquet Only $ 35.00
Must fill out application for Banquet Only
Deadline for Banquet Only January 24, 2009
I Am Paying Amount In Full
Registration Deposit $50.00
(Non-Refundable)
Extra Nights @ Room $ 93.00
Returned Check Policy Subject to $ 25.00 Surcharge.
Add $20.00 To Run Fee After 01-24-09
Only Cash, Cashier Check or Money Order Will Be Accepted.
NO REFUNDS AFTER 02-06-09
Send Completed Application and Money To:
Run Registration: The Black Guard of Minneapolis
P.O. Box 8989
Minneapolis, Minnesota 55408
Your Name: _________________________
Your Address: _________________________
Your City: _________________________
Your State: _______________ Your Zip: ____________
Your Phone: ___________________
E-Mail: _______________________________________
Club Affiliation: ________________________
Black Guard Associate? Y-N _______
WHAT WOULD YOU LIKE TO EAT AT THE BANQUET?
_____T-BONE STEAK _____CHICKEN ______FISH
Dietary Restrictions: ___________________________________________________
Arriving By: Car_____ Bus_____ Train_____ Airline____________
Flight #_______________ Time:______________
*
*
*
I, the undersigned, state that I am at least 21 years old. I voluntarily
agree to abide by all the rules of the run, including
prohibitions on recreational drugs, behavior, and illegal attire. I agree to
hold harmless and not liable, THE BLACK GUARD OF MINNEAPOLIS, it's members,
their sponsors, and all facilities used for run venues from liability due to any
actions on my part, or on the part of any other run participants, for any
injury, or for any other circumstances, that may arise from my attendance at
this event.
Signed: ________________________
In Case Of Emergency, Whom Do We Contact?
All Information Will Be Kept Confidential !
Name: ____________________Phone:__________________
Affiliation: (Relationship) ________________________