Fun, Run & Walk
Saturday, July 4, 2009
Mayfield, Kentucky
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Registration Begins 7:00 A.M. at City Hall
Race Begins 8:00 a.m. at South Side of Court Square
In conjunction with City of Mayfield’s – Glory Days
USATF Certified -- KY 03013 PR
Awards for: 1st 2nd 3rd Places & Overall –10-Yr Age Groups
Post Race Refreshments and Door Prizes at The Lighthouse
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All proceeds of the Race will be used to benefit The Lighthouse
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Pre-Registration Fee - $15.00 by June 30, 2009 / After Deadline Date and Day of Race - $20.00
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For information, call 270-247-9226 or e-mail lighthouse@mewsbb.net
Keep Top of Form for Information - Clip & Mail Registration with Fee to
The Lighthouse, P. O. Box 5375, Mayfield, KY 42066
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Race Registration Form
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Name: Birthdate: Gender: M F |
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Address: |
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City ST: Zip: Phone: |
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E-Mail: |
Shirt Size |
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LG |
XT-LG |
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Waiver of Liability: I understand there are inherent risks involved in participating in a race and agree that I will assume all risks and hazards incidental to such participation and do hereby waive, release, absolve, indemnify and agree to hold blameless the Lighthouse, the Race Organizers, Sponsors, Supervisors, Participants and Staff Personnel from liability for any accident or any injury I may sustain while participating in this event.
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Entrant’s Signature (Parent must also sign if entrant is under 18 yrs of age) |
Date |
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