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"Be strong and courageous.

Do not be afraid or terrified because of them, for the Lord your God goes with you; he will never leave you nor forsake you. -Deuteronomy 31:6

Proceeds go directly to the Katy (Stiefel) Lartz family for financial assistance with her courageous fight against breast cancer. Saturday, August 4, 2012 at 10 a.m. 100 S. Summit St., Pearl City, IL
Registration is from 8:30-9:30 Kids Fun Run at 9:45. Its free and kids get a goodie bag! Run/ walk regardless of weather. If cancelled due to extreme weather, thank you for your donation to Katy and her family. Register by July 15th for a guaranteed t-shirt Benefit meal being held during awards ceremony; you have to eat so why not help support Katy? Check out the silent auction items while you wait for others to cross the finish line.

Prizes for top male and female finishers and top finishers in each male/female age bracket: 9 and under, 10-14, 15-19, 2024, 25-29, 30-34, 35-39, 4044, 45-49, 50-54, 55-59, 6064, 65-69, 70 and over.

Registration: (one registrant per form)


Name:___________________________ Address:_________________________ City/State/Zip:____________________ Age(on Aug 4)_________ Sex:________ Phone:_________________________ Fee: $15 before July 15th &$20 day of race. Make checks payable to Courageous for Katy. T-shirt size: circle one

Waiver: I hereby signify that I understand that the beneficiary, sponsors, and the city where I run, and all other organizations and persons connected with the event are not to be held responsible for any injuries which I may suffer while taking part in this event or as a result thereof. I hereby waive any claim of damages to my person or property. I grant full permission for organizers to use photographs of me and quotations from me in legitimate accounts and promotions of this event.

________________
Name(parent signature if under 18) Date

Mail lower part of flyer (form) and money to: Kari Scobee 407 W. Franklin St. Lanark, IL 61046

Adult: S M L XL XXL (add $2 extra)

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