Fowler 4th of July 5k run/Walk &kids fun run by qyasfxS

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									   Fowler 4th of July 5K Run/Walk &
             Kids Fun Run
  When: FRIDAY JULY 4th at 7:30 AM 5K RUN/WALK, KIDS
        RUN TO IMMEDIATELY FOLLOW

  WHERE: FOWLER TOWN PARK (BY THE GAZEBO)

  Who: 5K RUN/WALK OPEN TO ALL AGE GROUPS, FUN RUN
       AGES 2-10 YEARS (approximately 500 meters)

  RACE Highlights: PANCAKE BREAKFAST (with 5K
  REGISTRATION), AWARDS TO 1st & 2nd PLACE IN EACH AGE
  GROUP, AND POOL PASSES FOR THE DAY FOR FUN RUN
  PARTICIPANTS.

Name:                                                                      Age:                    Sex:    M      F

Address:                                             City:                         State:          Zip:

Date of Birth:                       Phone:                     Email:

Please check the event below you plan to enter.            5K $10           Fun Run $5

5K Run                               5K Walk                                 Kids Fun Run

Make checks payable to Town of Fowler. Registrations can be mailed to Erin Hardebeck at 3020 N. St.
RD. 55 Fowler, IN 47944. Contact 765-884-0950 for further information. Registration 6:45-7:15a.m

Waiver
In consideration of the acceptance of this entry, I waive for myself, my heirs, and their assigns, any and
all claims for damage against the Town of Fowler, their sponsors and their representatives in
connection with my participation in the Fowler 4th of July 5K Run/Walk 2008. I attest and verify that I
have full knowledge of the risks of this event. I am physically fit and sufficiently trained to participate.

Signature:                                                                 Date:
 Form must be signed by race entrant. If entrant is under 18 years of age, a parent or legal guardian must sign entry form.

								
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