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PLEASE PRINT OUT REGISTRATION FORM AND BRING TO YMCA. SORRY THERE ARE NO ON LINE REGISTRATIONS TAKEN
YMCA Family Fun Run / Walk May 8, 2010 Elks Picnic Ground 9:00 am Start Come share the magic of a child’s smile — all proceeds go to the YMCA Youth Sponsorship Program
EVENTS INCLUDE: 3KM WALK / 3KM RUN / 5KM WALK / 5KM RUN & 8KM RUN
AWARDS: PRIZES: First male & female in 3KM RUN / 5KM RUN & 8KM RUN GIFTS also for all participants under the age of 14 years
ENTRY FEES: UNDER 11: YMCA MEMBERS $12.00 NON-MEMBERS $14.00 AGE 11-17 $18.00 $20.00 18 & OVER $22.00 $24.00 ENTRY DEADLINE: MAY 6, 2010 BY 9:00 PM
PAYMENT METHOD ACCEPTED BY VISA , MASTER CARD, DEBIT OR CASH ONLY. NO CHEQUES PLEASE
Name:___________________________________________________Phone #: __________________________
Address:___________________________________________________________________________City:__________________ Prov.___________________ Postal Code:______________________
Gender: F M YMCA Member: Yes No Amount Paid ____________
AGE (on race day): 0-9 10-13 14-17 18-29 30-39 40-49 50-59 60-69 70-79 80+ (PLEASE CIRCLE ONE)
EVENTS: 3KM WALK
T-SHIRT: Yth XS S M L Adult S M L XL XXL
WAIVER: With the full knowledge of the risks involved, I the below signed, hereby apply to be entered as a participant in the Lethbridge YMCA Family Fun Run and in consideration of this application being accepted, I hereby release the sponsors and organizers of the YMCA Family Fun Run from any claim for damages or injuries suffered to me during such contest, and waive any claim I might have for damages against such sponsors and such organizers arising out of, or in any way relating to my participation in the Lethbridge YMCA Family Fun Run.
Signature:__________________________________________________________ Date:______________________ (Parent or Guardian if under 18 years of age)
PINNEY #:
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