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					2011 Paint the Town Red
            PSU SIFE 5K Fun Run
Date:        Saturday, September 10, 2011

             Registration - 8:00 AM
Time:
                                Run/Walk - 9:00 AM

Starting     Kansas Technology Center - Pittsburg State University
Location:                          909 E Ford St, Pittsburg

             Pre-Registration Received By 8/28/11
                $12.00 (Includes T-Shirt)
                $8.00 (Does Not Include T-Shirt)
Entry Fee:
             Registration Received After 8/28/11 Or Day Of Race
                $14.00 (Includes T-Shirt As They Are Available)
               $10.00 (Does Not Include T-Shirt)
Age          18 and under, 19-39,
Groups:                                     40-59, 60 And Up
             The Following Will Be Awarded:
Awards:                              Prizes to top 3 male and female finishers in each age
             group
Entry forms may be submitted in person to the PSU SIFE office located in Kelce 102, by mail
   to PSU SIFE, Kelce 102, Pittsburg State University, Pittsburg, KS 66762 or e-mailed to
sife@pittstate.edu . Remember T-Shirts are limited and are only guaranteed to pre-registered
          participants. Visit www.pittstate-sife.com to view this year's t-shirt design.

Name:                                                    Age:               Sex (M or F):
Address:                                                 City:                    State:
Zip Code:
Email:
Adult Shirt Size (if applicable):                  S     M        L       XL       XXL
Youth Shirt Size (If applicable):                  S     M        L
Fee
                                    (Make checks payable to PSU SIFE)
Enclosed:


 In consideration for your acceptance of this entry, I hereby, for myself and my heirs, waive
  all rights and claims for damages I may have against Pittsburg State University, PSU SIFE,
 fellow runners, race personnel or volunteers with this event, for any injuries suffered by
 me in connection with said event. I understand I must be in good health to participate. I also
  give permission for the free use of my name and pictures in any media account of this event.



Participant Signature:


Parent/Gaurdian Signature (If under 18):

				
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