Wednesday, July 12, 2000 -- Connellsville, PA
18th Annual John Woodruff 5K Run & Walk

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Make checks payable to:
John Woodruff Club
706 Blackstone Avenue
Connellsville, PA 15425

ENTRY FORM

(please print)

NAME: __________________________________________________

ADDRESS: _______________________________________________

CITY: _____________________ STATE: ____ ZIP: ___________

AGE (on race day): _____  DATE OF BIRTH: _______________

PHONE: ________________________   

MALE   FEMALE           T-SHIRT SIZE:  S  M  L  XL

RACE SELECTION:   5K RUN   WALK

Signature: ______________________________________________
(if under 18, parent or guardian must sign)