rd *no*a Run + + o

SeruRpey,

for ffgarrgn's Saltg lOrc, 5rc. lx

Aenn 26, zot4 er &5o A.1[.
CIy sruDrnrs roR Rect Panuopanrs*

@ Fmsr Cgnrsruu Cnuncn, FLoRA, Irnrors tHMrsrli,* e&lip fim*ng $erehe pr*v*ded by e&emplor,mhip*
*Barvgr.rine
SERvIc?s PRovrorp By

I5x mn ln lilnu:ns Wueomill

Proceeds

will help

send 5o

high school students to a "cIY' (Christ In Youth) prosram.

PRgRscrsrruAtiox/RrctsrRafl oN Fgr:

If entry forms received on or before April If entryformsreceivedafterApril

15:

15:

$30 10K: $35

10K:
Same Day

$25 5K: $30

5K:

lK: $5 .No shirt provided for lK

1K:
$5

Registration Available
closes at 8:15

FINAL registration @ First Christian Church @ 7:00 AM the day of the race and
1K begin at 8:15 courses close at i0:30 A.M. Those pre-registered on or before

AM
1K;

AM outside the First Christian Church; 5K & 10K shortly after conclusion of

the 10K and 5K events are assured ofreceiving a shoft-sleeve Moisture Wicking T-shirt. Extra shirts will be ordered but will be available only while supplies last to those registered after April 15. '1K Participants may order a cotton t-shirt (please add $5.00) on or before April 15. EVENT: AGE cATEGoRv (crRcru oun):
15 for

April

10K 5K
Yourfl
ApuLT

&under, 19-24, 25-34; 35-44; 45-54; 55 &older under; 12-15; 16-18; 19-24; 25-34; 35-44; 45-54; 55 & older rK Fun Run All Fun Run Participants oill receive a Ribbon
18 11 &
PLEASE CIRCLE YoUR T_SHIRT SIZE. IT NoT MARKED, YoU WILL RECEIVE A MEDIUM.

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EMArL ADDRESS

Waiverl By signing below, I do hereby release and discharge from liability the Ftrst Christian Church and the City of Flora, organizers, event q)onsors, supenrisors of the "RUn FOf HeaVen's Sake !,olzf' and their representatives, successors and
assigns for any and all causes of action, claims, and injuries suffered by me in this event, hourever incurred. I attest and verifu

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 I a), I hereby consent to the

pa.rticipa.tion of the applicant in the race under the above mentioned conditions.
_

Signature-----

Date--------

OrHER

i\[lrr CHrcrs Pavaslr ro: FCC Ruq FrRsr CmrsrrAN CHURCH, Arr: FCC RUN, 100 W. 4t', FLoRA, LL62839 CoNrACr rNFoRMArloN: www.fccflora.com oR Celr- (618) 508-2755 oR FACEBooK pAos: RUN FOR HEAVEN'S SAKE
Marr, pxrnv FoRM

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