
5K Awards1st Male and Female: $100 Swags gift certificate Cooking Baking ContestBring your cookies to be judged by
|
5K Age Group Awards1st, 2nd and 3rd place finishers in each age group will receive Swags Sport Shoes gift certificates in the amounts of $25, $20 and $15, respectively. 14-under, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70 + Packet and Shirt Pickup at SwagsMay 15: 10:00 am - 8:00 pm
|
Swags Sport Shoes
7415 Old 3rd Street Rd.
Louisville, KY. 40214
| Name: | Age: | Sex: | ||||
| Address: | ||||||
| City: | State | Zip: | ||||
| Phone: | T-shirt size: | XXL | XL | L | M | S |
In consideration of you accepting my entry, I intending to be legally bound, do hereby for myself, my heirs, my executors and administrators, do waive and release forever any and all rights and claims for damages I may accrue against all persons and agencies, namely Swags Sport Shoes, and any other involved with promoting the race listed by name, their successors, representatives, and assigns for any and all injuries suffered by me while traveling to and from and participating in the Wally Bright Memorial Run May 19, 2009.
| Signature: | Date: |
| Signature of parent or guardian if under 18: | Date: |