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Foundation
Spring Into Health
5K & Fun Run
Saturday, April 16, 2016
Lewis County General Hospital
REGISTRATION INFORMATION * PLEASE CONSIDER ONLINE REGISTRATION AT RUNSIGNUP.COM *
5K Walk/Run -$25 Includes race, raffle entry, and a T-shirt to those registered by April 1st.
The Fun Run starts at 9:45 am. Children need to be checked in by 9:00am.
Please note: Supervision of children will not be provided during the 5K event.
ENTRY FORM
Name:_____________________________________________ Address: __________________________________
State/Zip: _________________________________________ Phone: ___________________________________
Email: _____________________________________________ Gender: (Circle One)
Age Group: (Circle One): Under 10
5K
$25 Pre-Registration
11-20
21-30
T-Shirt Size: S
31-40
M
41-50
Male
51-60
XL
Female
61 & Over
2XL
T-Shirt Size: S
XL
2XL