FAF APPLEKNOCKER RUN 2OT3

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SAruRoAy, SEprrMeER 28, 2013. FHS PARKING LOT FLoRA, Ir-r-ruors

EARN yoUR DUI4pIING!

PgoNE
GIiNDER:

M/

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Srarr

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EMAII, ADDRESS

AGE ou Dars or

RUN

(crRCLE oNE)

Waiverl By signing below, I do hereby release and discharge from liability the Flora Academic Foundation and the City of Flora, organizers, event sponsors, supenrisors of the "FAF Appleknocker Run" and their representatives, successors and assigns for
any and all causes of action, claims, and injuries suffered by me in this etrent, houpver incurred. I attest and verify that I have

sufficiently trained for the completion of this event. As a parent or guardian of the applicant (if applicant under the age of

8),

I hereby consent to the participa.tion o{ the applicant in the race under the above mentioned conditions-

Signature_--_-

_ Date________

*PnfnfetSTRATI0IV: If entry forms

rcceived on or by

sept

ts --

Same Day Registration Available

-I

llffle fio f trtflg $I2

&

SK:

$tS

str:

$zo

roo yard dashr FREE for childrcn

*I{o Rrrunos
DUE To

years old and under

Wr,errrn

z AGE CATEG0RIE$ 4 & under DASH s-8 year old DASH I{o shirt provided & I{o rcgistraUon rcquircd for dashers All participants in the roo yatd dash will receive a ribbon I{Eltr

Computerized Timing Services

by Larry B. Ilrilliams, A Time For Everything

Final registraUon.begins in front of FIIS at741 Ait{ the day of the rrce and closes at 8r5 AIt{
sK & r ltIile runs

hgin

at

85O Aff in front of Flora High Sc. hool

DASHES immodiately preceding

Those pre-registered by Sept. rgth

fot SK and r trIile are assured of receiving a lt{oisture lilanagement T-shirt. Extra shirts will be ordered but will be available only,,rvhile supplies Iast

CATEG0RT: AGE CATEGoRT (CrnCrr One) SK Rur: ro & under, u-15, t6-r8;

rg-24; 2834; SS-44; 45-54; SS & older r.[Inr nur: I & unde4 g-l; rz-t1; 16-19; 2o-zgi Soig; 40-49; 5o & older your{ srzE: Sulrr ]t{EDroi{ IARGE PlEAs[ crRcrr roun ADurr srzr: Suerr T-srrrr srzEE -UEDru.u Lancr X-lancr *XXL *nno Sz
it{nlt zytny r0ni{ To: Flora Academic Foundation, Att lt{elanie Pearce, rz5 lincoln Ave., Flora, lL 6z8sg
0R Dnop oFF AT:
FCUSD

*55 Unit 0ffice,444 South locust, Flora,Il6zB3g 0R clct

0rHER coryTAcr rr{F0ntrATr0r{: Bear'.c_el,avj9,m$ee-srt

(at)

so8-27s5 on FacrsooK pAcE: FAF Appl:KilocKER Ruil

*PIEASE AVOID PARKII{G

II{ THE II{AIIf FHS

PARKIIYG TOT (IifAIT{ FESI

TAI

SITE) AI{D WEST SIDE OF SCHOOI (RACE SITE).