On November 6th, 7th, and 8th, 2009 a group of ladies with the team name "Pink Pirates" are going on an amazing journey in the fight against breast cancer!! The Breast Cancer 3-Day is a 60-mile walk over the course of three days. Net proceeds benefit Susan G. Komen for the Cure and National Philanthropic Trust, funding important breast cancer research, education, screening, and treatment. The team as a whole has to raise $25,000.00 just to be able to walk. Please make at least a $15.00 donation for registering for our walk as we try to get our money raised to go. The $15.00 is not a set entry fee that's just what we are asking. You can donate more or less. Thank you so much and we look forward to walking/running with you in this event!!!! Registration deadline will be July 10, 2009 for a guaranteed T-shirt.

Last Name___________________________First Name___________________________

Date of Birth______________________Sex M_____F______ Age on Race day_______

Address_______________________________________________________________

City______________________________State________________Zip______________

T-Shirt Size Youth Med______Youth Large_______Adult S_____Adult M____Adult L____Adult XL____ 

Donation Amount:_______________

Make checks payable to and mail to: "The 3-Day Walk" and send to: Lisa Drake-Cooper, 1785 Sun Valley Drive, Batesville, AR 72501.

RACE RELEASE (Must be signed by participant/parent or guardian)

I understand that my consent to these provisions is given in consideration of the acceptance of this registration and for being permitted to participate in this event. I am a voluntary participant in this event, and in good physical condition. I know that this is a potentially hazardous activity and I hereby assume full responsibility for any injury or accident which may occur during my participation in this event or while on the premises of this event. In consideration of acceptance of this entry, I waive and release any and all claims for myself and my heirs against the race organizers and any and all sponsors of this race from any liability or any loss, damage, or injury which I may incur as a result of my participation in this race. I further state that I have trained and I am in proper physical condition to participate in this race. This entry is not valid unless signed by entrant. If entrant is under 18 years of age, parent or guardian must sign entry form. Entry form not valid without signature and will be returned. Must have one form per person with signature. Photocopies are acceptable.

Signature__________________________________________Date__________________

Parent/Guardian Signature_________________________________Date______________

IPICO CHIP Instructions
1. All timed participants must pick up a timing chip race morning.
2. Timing chips must be affixed to your shoelace with a zip tie provided race morning.
3. Please do not swap timing chips with family or friends.
4. Only participants wearing a timing chip will have a recorded finishing time.
5. Return your timing chip to a volunteer after you finish.
6. Please do not exit the finish chute with your race-day timing chip.
7. Participants will be charged $30 for timing chips not returned after the race.

This will be a night time race. There will be a children's race after the adults. We encourage the children to wear their Pajamas and bring their flashlights. They will be given a neon necklace to wear during the race. Upon crossing the finish line they will receive some sort of reward. We will also provide them with ice cream.