RELAY FOR LIFE 5K fun Run Walk
When; “Memorial Day” Monday May 31st. 2010 8:30 A.M.
Where; Nixa Community Center 701 N. Taylor Way Nixa, Mo.
Directions: From Springfield, Hwy 160 S. to Nixa
Wal-Mart, Left on Aldersgate to Main Street, Right to North Street (3 way
stop), Left .7 mile to Center.
Registration; Ridge Runner Sports 3057 S. Fremont, Springfield, MO. 65804
Cost; Advance Adults
$15.00, Kids 12 and under $10.00 - Day of event Adults $20.00 Kids 12
and under $15.00 Make checks payable to
“Wal-Mart Relay for Life”
Registration and
Packet Pick up; Nixa Wal-Mart Sunday May 30th. 2
– 6 P.M. or Nixa Community Center Day of event 7:30 – 8:15 A.M.
TIMING: Ridge Runner Sports Championship “Chip” Timing
(Timing
Chips will be reclaimed at finish line.
Please,
if you register, receive chip and cannot attend race, it will be your
responsibility to return chip to Ridge Runner Sports or contact
“More Info” contacts for return. Chip value
$20.00 ea.)
Course; Mostly flat residential neighborhoods, start
and end at the Nixa Community Center.
More Info: Allyn Wollard hurby-1@hotmail.com
417-861-0973
Awards: Medals to Overall M&F, and Masters M&F over
40, 1st - 3rd groups 12 & under, 13–19, 20-29, 30-39,
40-49, 50-59, 60-69, 70+
**COMMERATIVE TOTE BAGS TO ALL PAID PARTICIPANTS** DOOR
PRIZE DRAWINGS**
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MEMORIAL DAY
RELAY FOR LIFE
5K FUN RUN
WALK ENTRY FORM – “THE CENTER”, NIXA, MO.
Name:___________________________Age
(on 5-31-10)_______ Male____Female____
Address:________________________________
Phone:_____________________
City:_____________________State:______
Zip:__________
E-mail:_________________________________
Waiver:
I know that
entering a road race is a potentially hazardous activity. I know that I should not enter a race unless
I am
medically able and properly
trained. Knowing these things I, hereby for myself and my heirs, waive any
and all rights for claims in this race
in event of injury. I also
release and hold harmless any and all sponsors or organizers of this
event. I will do my best to follow the course and not be offensive to others
while competing in this event. No bikes,
roller blades, skates or skateboards are allowed. Please refrain from the use of IPOD’s , MP3
players or any other headphone device.
The race course is not closed & all participants need to be completely alert to traffic and race
instructions at all times.
Signature: (Parent
sign for child under 18)____________________________________Date:_____________
Office use only: Payment; Cash_______ Check_______