Churubusco Turtle Days 2012

TURTLE RUN 5K

WALK/RUN

ROAD RACE

(ALL PROCEEDS TO BENEFIT CHURUBUSCO YOUTH FOR CHRIST & TURTLE DAYS)

EXTRA DONATIONS WELCOMED

WHEN:           JUNE 19, 2010

REGISTRATION 7:00 AM                            RACE 8:00 AM

WHERE:        CHURUBUSCO HIGH SCHOOL (FRONT PARKING LOT)

COST:            $12 PRE-REGISTRATION (POST MARKED BY JUNE 5, 2010)

*A T’SHIRT IS GUARANTEED FOR ALL PRE-REGISTERED ENTRANTS AS WELL AS YOUR NAME WILL BE ENTERED IN A DRAWING FOR DOOR PRIZES.

                        $15 DAY OF RACE

***Family rate available for 3 or more, at $10 per person

DIVISIONS:    RUNNER:  MALE & FEMALE 12-UNDER, 13-19, 20-20, 30-39, 40-49, 50-59, 60-69, 70+/WALKER: TOP 3 OVERALL

FOR MORE INFORMATION CONTACT:  JON PELZ (260) 433-6993 (LEAVE MESSAGE IF NEEDED WITH A NUMBER TO CALL BACK)

CHECKS PAYABLE TO:

YOUTH FOR CHRIST

2845 HILLIGAS RD

FORT WAYNE, IN 46808

ATTENTION:  TURTLE RUN 5K

Name: _______________________________________    Phone: (    ) _____________

Address: _______________________________________   Sex:  M   F     Age:  ______

City: _____________________ State: ____ Zip:__________     Shirt size:  S    M    L   X

In consideration on acceptance of this entry, I waive for myself, my heirs, and assigns, any and all claims of damage against the Turtle Days Race Committee and their representatives, for any/all injuries received before, during and after this event.  I attest and verify that I am sufficiently conditioned to participate in this event.

Signature ________________________________ Date: ______________

                   (Parent or Guardian signature required if under18)

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