OffCenter Thrift & Gift

Presents

The Turlock Chaplaincy 4th Annual

5k & 10k Fun Run

Saturday, April 6th, 2013, 9:00am
Crane Park, 1555 E. Canal Drive, Turlock, CA
The course is a flat loop through a residential district.
Entry Fee: $20 pre-registered; $25 day of the run

Every finisher receives a medal!

Awards: Medals three deep in ten year age groups through 60 + Plaques to overall Male and Female finisher

Register at active.com or contact Kathy Smith @ 632-6482 for information Turlock Chaplaincy 5k & 10k Fun Run
Name City Phone Male / Female (Circle) State E-mail Address Age on Race Day 5k 10k Street Address Zip

Not Running Donation Only I have enclosed my registration fee/donation in the amount of $ Please make checks out to: Turlock Chaplaincy Please mail registration form: Turlock Chaplaincy c/o Kathy Smith, 1600 N. Berkeley Ave, Turlock, CA 95382
Liability Waiver: (the following must be signed to enter the race) By signing this form, I acknowledge that the information I provided is accurate to the best of my knowledge. In consideration of your accepting entry, I, Intending to be legally bound, do hereby for myself, my heirs, executors, and administrators waive and release forever any and all rights and claims or damages I may accrue against the Turlock Chaplaincy race management, event, their representatives, successors and assigns for any and all injuries suffered by me in connection with this event including pre- and post-race activities. I also grant Turlock Chaplaincy the right to use any images of me taken at the race.

I have read my rights: Signed: (If you are under 18 years old, your parent or legal guardian must sign this form)

Date: