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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
In signing this entry, I hereby release The John
Woodruff 5K Race and Walk from any claims or responsibility for any
injuries suffered by me in this event.
Signature: ______________________________________________
(if under 18, parent or guardian must sign)
Entry not valid unless all information herewithin is filled out and signed.
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