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Run for Education – Scholarship Fundraiser

Saturday, May 14, 2011


Last Name First Name Male or 5K or Age Shirt size Total Price
Female 1.5 (if ordering) (run + shirt – if
mile +$12.00 xtra ordering)

Total Enclosed $__________


Mailing Address ________________________________________________Email___________________________________
City________________________________________Zip___________________Phone_______________________________

**Please make checks out to Run for Education & mail form and $ to: Aspen Incashola, PO Box 229, St. Ignatius, MT 59865
Registration Information

5K-all ages,(unless in stroller-no shirt)-------------------------$10.00 donation (or more if you want to!)
1.5 Mile Registration fee, 13 & over (no shirt) ---------------$10.00 $12.00
Shirt Sizes (unisex)
1.5 Mile Registration fee, 12 & under (no shirt) --------------$ 5.00
Youth: S M
All races start at 10:00 am at the H.S. Track. Adults: S M L
Late registration and pre-registration check in starts @ 9:00am XL 2XL (+$2)
Dogs on leashes are welcome!

Need more info? Call 370-4773 or check out the site at: www.fsquaredfitness.blogspot.com

I know that running a road race is a potentially hazardous activity. I have enrolled myself and/or my children in the Run for Education, offered by Aspen Incashola and the St. Ignatius High
School. I know, understand, and appreciate the nature of this activity, the dangers, and risks that it may include. I fully know and understand that my participation is voluntary and the at I am
free to discontinue at any time. I further agree to hold harmless Aspen Incashola, St. Ignatius School District, and all agencies and sponsors of the event and those whose property may be
involved in the race. I have read the above warning and agree to participate willingly.

Signature of Participant (or parent if under 18)

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