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HARVEST MOON _ MARGARITA fun 5K__ LOCATION Meet at .pdf

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HARVEST MOON _ MARGARITA fun 5K__ LOCATION Meet at .pdf Powered By Docstoc
					                             HARVEST MOON & MARGARITA fun 5K!!




                   Run, walk, stroll, roll along Galveston's Seawall in the moonlight
                                             Friday, October 14, 2011

LOCATION: Meet at Salsa's Restaurant (4604 Seawall Blvd,
Galveston). Check-in begins at 5:30pm, Run/walk will begin around
6:15pm
PAYMENT*: $25. entry fee for participants $20. for friends/family
(except children 12 & younger) not participating but attending $10.
children ages 12 & younger
Please make checks payable to: Fit to Run, LLC
Please return this form and payment by Monday, October 10 2011
to: FIT to RUN 518 23rd St, Galveston, TX, 77550 409-539-5150
www.Fit2RunGalveston.com or Fax form to Kim at: 281-605-1995
and bring payment day of event
  *part of any proceeds will be contributed to our KIDS on the MOVE
 program-- a program providing good running shoes to less fortunate
                        children in Galveston.
………………………………………………………………………………………………………………………………………………………………………….
NAME:____________________________________________________________
EMAIL:____________________________________________________________
ADDRESS:_________________________________________________________
CITY:___________STATE:_______ ZIP:_________________
DATE OF BIRTH:_______________GENDER:___________ PHONE:_________________ ____
T-SHIRT SIZE: SMALL MEDIUM LARGE X-LARGE XX-LARGE YOUTH Size:      SmallMed
    Large
EMERGENCY CONTACT:___________________________________________
EMERGENCY PHONE:______________________________________________
In consideration of acceptance of this entry, I release for myself and my heirs, FIT to RUN, LLC., and FGT Enterprises, Inc., its
agents, officers, directors and employees, any sponsor and all officials of this race, from claims, demands, liabilities, damages or
cause of action, of any nature, including claims of death, injury or illness, arising out of my participation in the Harvest Moon &
Margarita Run. I state that I have trained and am in proper physical condition to participate in this event. I hereby grant full permission
to use my name and any photographs, videotapes, or other recording of this event for any purpose.
I AGREE_______________________________________________________________________________ SIGNATURE

				
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