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Each participant must
fill out a separate registration form. Registration the day of the
race will start at Name
______________________________________________________________________ Phone
_______________________________
________ 5K Run/Walk Sex _______
Age _________
________ 1K Kids Fun Run for Ages 5-10 Date of Birth
_____________________ Adult Shirt Size
(Please Circle) S
M
L
XL XXL Child
Sizes: (Please Circle) Small
6-8 Medium 10-12
Large 14-16 I know that running is
a strenuous activity and potentially hazardous. I am medically able and
properly trained. I am entering the event at my own risk and am
responsible for any injuries I may incur as a result of participation in
this event. I agree to abide by the decisions of the race officials and
not hold any race official or any organization associated with the race
responsible for injuries incurred as a result of this event. Signature of
Participant ___________________________________________ Date __________
(Signature of Parent if under 18 years old) T-shirts
guaranteed to all participants registered by June 14, 2008. T-shirts to
late entrants or day of race entrants while supplies last.
Refreshments available at the finish. 5K Run/Walk $12 if
received by June 7, 2008 1K Kids Run $8 if
received by June 7, 2008 1K Kids Run – awards
to all finishers Make checks payable to
SMHOC and send with completed entry form to: Tony Laudenbach |