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Includes
T-Shirt/Bag to first 300 entries! (excludes Kid Fun
Run participants) Prizes
to top three in each age division! Medals
to all participants in Kids ¼ mile Fun Run! CHIP
TIMING! (5K/
10K events) Registration: 6:00 am - 7:30
am 10K
Run & Kid ¼ Mile: 7:45 am 5K Run/1.8 Mile Walk: 8:00 am Entry Fee $12
Minimum Donation ($15
Race Day) Kids
¼ mile fun run – FREE **Make
checks payable to: “Run For A Reason” Mail Entry To: Shelter Insurance “Run For A Reason” 703 E. Hwy 54 SATURDAY JULY 17, 2010 Community Center 135 W. Spring St. “Honorary Starters” Khloie & Haleigh
…For
More Information 417-876-7664 Run4areason@hotmail.com
1.8 MILE WALK:
_____ 5K RUN:_________________ 10K RUN: ______________
¼ MILE KIDS FUN RUN:_______ (Ages 0-10) MALE:____
FEMALE:____
Name: _____________________________________________________________________
Address: ___________________________________________________________________
City: _________________________
State: _____________________ Zip: _______
Age (on July 17, 2010): ___________________________________________________
Phone: _______________ Email: ___________________________
T-Shirt
Size: S M
L XL 2XL
Race
Application Waiver
I know running/walking a road race is a potentially hazardous
activity. I should not enter unless I am medically able and properly trained. I
agree to abide by any decision of a race official relative to my ability to
safely complete the event. I assume all risks associated with this event
including, but not limited to: falls, contact with other participants, effects
of the weather, including high heat and/or humidity; traffic and the conditions
of the road, all such risks being known and appreciated by me. Having read this
waiver and knowing these facts, and in consideration of your accepting my
entry, I, for myself and anyone entitled to act on my behalf, waive and release
the City of El Dorado Springs and all volunteers, sponsors and professionals
associated with this event from all claims or liabilities of any kind arising
out of my participation in this event even though liability may arise out of my
negligence or carelessness on the part of the persons named in this waiver.
Signature:___________________________________ Date:___________________
Parent’s Signature (if under 18 years of age):_______________________________________