BLUE CROSS BROAD STREET RUN
VOLUNTEER GROUP
Information Sheet
Early Submittal- Due by March 11, 2009
Group Name:
Contact:
Rec. Staff Contact (if applicable)
Mailing Address:
City State Zip
Home Phone: Work Phone:
Fax Number: Race Day Cell:
Shirt Order: ______Medium _____ Large _____X-Large XX-Large
2008 Group Assignment/Location:
(MAY BE REASSIGNED AS RACE NEEDS DICTATE)
Make stipend Payable to:
Please return your completed form to:
Philadelphia Department of Recreation
Attention: Dennis P. Gibson
Blue Cross Broad Street Run Volunteers
Capitolo Playground
900 Federal Street
Philadelphia, PA 19147
Forms may be faxed to: Dennis Gibson – 215-683-1885
Questions: Call 215-685-1883 or e-mail BSRVolunteers@yahoo.com
Once we have confirmed that your group will be participating, we will send you the link to
register your group information online. This will enable you to e-mail all members of
your group with race information/updates as they become available.