|
 |
| |
Online Entry Confirmation Receipt:
|
|
Confirmation Number:
|
22689-44668-105784-10232009-190336
|
|
Event:
|
USF Community 5k
|
|
Race/ Category:
|
5K Run/Walk
|
|
Name:
|
Connie Houlihan
|
|
Event Day Age:
|
52
|
|
Gender:
|
F
|
|
Registration Date:
|
10/23/2009
|
|
Registration Method:
|
ONLINE
|
|
Registration Status:
|
REGISTERED
|
|
Bib:
|
371
|
|
Registration :
|
Registration (Qty: 1)
|
|
Apparel :
|
Event Shirt (Qty: 1)
Size: S
Style: Short-Sleeved
|
|
| |
|
Authorization Letter
|
I, Connie Houlihan, hereby authorize __________________________________ to act on my behalf to pick up my packet for the USF Community 5k '09. Any and all acts carried out on my behalf shall have the same affect as acts of my own.
____________________________
Name: Connie Houlihan
Date: 9/9/10
|
|
|
|
|
 |



 |
 |
 |
 |
 |
 |
|