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5K Run/Walk
Presented by:
The Cities of Crescent Springs & Villa Hills
Proceeds to benefit the Kenton County Veterans Memorial
Saturday, May 17, 2008
8:30 AM
Registration and
start of race at Crescent Springs Community Park located
at the corner of
Buttermilk Pike & Collins Road (across from fire station).
$1.00 per child
Kids Fun Run
Registration & race immediately after 5K Run/Walk.
All children who participate will receive a ribbon.
RUNNER
#
WALKER OFFICIAL REGISTRATION FORM
Make checks payable to:
Kenton County Veterans
Memorial
Mail
to:
Name
_________________________________
City of Crescent Springs Address
________________________________
739 Buttermilk Pike
City
__________________________________
Crescent Springs, Kentucky 41017 Age as of
5/17/08 ________________ Race Division
____________
RACE NUMBER #
Adult Shirt
sizes only: M
L XL
(entry
fee does not include t-shirt;
T-Shirt $8.00)
RELEASE:
In consideration
of the acceptance of my entry fee, I for myself, my executors,
administrators and assignees, do hereby release
and discharge the
cities of Crescent Springs and Villa Hills, KY;
Crescent Springs and Villa Hills officials, employees and volunteers;
and the “Kenton County Veterans Memorial” race committee, workers, and
volunteers for all claims of damages, demands or actions whatsoever in any
manner arising or growing out of my participation in said athletic event.
I attest and verify that I have full knowledge of the risks involved
in this event and I am physically fit and sufficiently trained to
participate in this event.
Signature of
Participant:
____________________________________
Signature of Parent/Guardian ________________________ (if under age
18)
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| City of Villa Hills, Kentucky 41018 - Phone (859) 341-1515 Fax (859) 341-0012 |