5K RUN WALK


Time: 4 p.m.

Date: Sunday, May 16

Location:

Grace Gathering
3157 Minnich Rd,
New Haven, IN

Registration Deadline: May 1, 2010

Registration Fee: $20 for adults before May 1, 2010 and $25 the day of the race

Teams of five or more are $18 per person, when registered before May 1, and they register under one person.

Number of runners?

WAIVER STATEMENT

I assume full and complete responsibility for any injury or accident which may occur to me during the event, or while I am on the event course. I hereby release and hold harmless Forgotten Children International, sponsors, and all other persons and entities associated with the event. I further certify that I am in good physical condition and fully able to participate in this event. I understand that fees are not refundable and that bikes, skateboards, scooters, and skates are not allowed.

Please type in your name if you agree. Entry is invalid if not signed (Parent/Guardian required if under 18)



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