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3rd Annual Wayne County 4-H 5K Run Saturday, June 28, 2008
Start/Finish in the area of the Kuhlman Center/Wayne Co. Fairgrounds, 861 North Salisbury Road, Richmond, IN The course will be on the roads and grass within the Wayne County Fairgrounds and on the grounds of the Richmond State Hospital Event Schedule 7:00 am – 8:00 am Registration/Packet Pickup 8:30 am Start of 5K Race 9:15 am Free Kid’s 12 & under 1-Mile Fun Run 9:45 am 5K Awards
Divisions: Male/Female 12 & Under, 13-15, 16-18, 19-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, and 60+ 5K awards will be presented to the Top 3 overall Male and Female winners and to the top runner in each age division. Top three places will be awarded to age groups under 18. 5K participants will receive a specially designed item while supplies last. To be guaranteed an item, please pre-register by June 20, 2008. …………………………………………………………………………………………………………………………………………… Entry Fee: $14.00 Make Check payable to – Wayne Co. 4-H Fair Committee Send entries to: Sandy House 7307 Manning Road Economy, IN 47339 For information call (765) 886-5400 or web site www.wayneco4hfair.com Email sandyhouse1@yahoo.com Name: ____________________________________________________ Address _______________________ City _______________________ State ______________, Zip Code _______________ Male _____ Female _____ Age _____ 5K _____ Fun-Run ______ E-mail Address _____________________________________________ I agree to waive, release, and discharge for myself and my heirs all claims against any and all claims for damages against the sponsors, employees, representatives, and race officials for any injuries resulting from my participation in this event. I assume all risks associated with my voluntary participation in this event. I verify and attest that I am physically fit and sufficiently trained for this event.
____________________________________ __________ Signature (Parent/Guardian Signature if under 18) date
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