2nd annual 5k run - 5k fitness walk registration form
TRANSCRIPT
2nd Annual 5K Run - 5K Fitness Walk
• Saturday, September 24th Register 7:30• Run / Walk Starts 8:30 at the High School
• Dry-Wick Shirts guaranteed to Pre-registered
• Breakfast following 5K• Virtual Runner?
• Entry Fee - Adults $20 | Students $10
5K Run Age Groups Men & Women:13-19, 20-29, 30-39, 40-49, 50-59, 60 & over
Fitness Walk:OPEN to all, Non-Competitive
2nd Annual
5K Run - 5K Fitness Walk
Each Participant must complete a registration formName_________________________________________Date of Birth_______________ Male / Female
Address________________________________________E-Mail__________________________________
City/State______________________________________Phone_________________________________
SIGNATURE__________________________________DATE_________________
M/DD/YYYY
Register by Sept. 9 to ensure T-Shirt
T-Shirt Size: Youth/Adult S M L XL XXL 5K Run 5K Walk
5K Run - 5K fitness walk
VirtualRunner
Waiver: In consideration of foregoing, I myself, executors, administrators, and assigns, do hereby discharge Jackson R-2 Foundation and all sponsors from any and all claims of damage, actions, and causes whatsoever, in any manner arising or growing out of my participation.
Make Checks payable to: Jackson R-2 School District Foundation
Do you have other plans on Sept. 24th? Would you prefer sleeping in or doing something else rather than getting up early to run or walk? You can do virtually anything else you want and still support the Jackson R-2 School Foundation!!! You can have the best of both worlds! This level or participation accomodates your busy schedule. Virtual Runner participants will receive a t-shirt.
Please return to: Jackson R-II Board O�ce, 614 E. Adams St. Jackson, MO 63755
Saturday, September 24, 2011
Saturday, September 24, 2011