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Saturday, August 17th, 2013 at 6 pm Day of registration begins at 4 pm

Kelsey Hutchinson Park, Highlands, NC


Registration: $25.00, Includes T-Shirt $30.00, Day of Race

Event open to both male and female runners/walkers of all ages. Awards presented to top male/female winners in each 10 year age division.

Please Print: Name Address Email Age Day of Race Phone ( )

Please Circle: T-SHIRT SIZE:

Sex

M/F
S M L XL XXL

T-Shirts also available for purchase at event

Mail entry form and payment to: Rotary Club of Highlands, ATTN: Derek Taylor P.O. Box 1741 Highlands, NC 28741 Call for information (828) 200-9226 Make all checks payable to Rotary Club of Highlands
In consideration of this entry being accepted I, intending to be legally bound, hereby for myself, my heirs, executors, administrators, waive and release any and all rights I may have against the sponsors, officials, contributors, organizers, volunteers, and beneficiaries of the Highlands Twilight 5k to be held on August 17th, 2013 of any and all injuries suffered by me in said event. I attest and verify that I am physically fit and have sufficiently prepared for this event.

Signature (Signature of parent or guardian if entrant is under 18)