Thursday, November 27, 2008 -- Charleston, WV / Kanawha State Forest, Shelter #8 (pool)
Stonewall Jackson Middle School Turkey Trot 5K & 2-Mile Walk
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Entry Fee: $ 15.00 IN ADVANCE / $20.00 RACE DAY
Mail checks to: Stonewall Jackson Middle School, 812 Park Ave, Charleston WV 25302
Age as of 11/27/08 ______________________________________ / Male____ or Female ____
Name: ______________________________________________________________
Address: ____________________________________________________________
Phone /Home: (_____________)____________________
Phone /Work: (_____________)____________________
E-mail: ____________________________________________
Entering: 5K _______ / Wheelchair: _________ / Walk: ___________
Circle: T-Shirt size // M___ L___ XL___ (adult sizes)
Release of Responsibility: In consideration of acceptance of this entry, I, the undersigned, intending to be legally bound hereby, for myself, my heirs, waive all claims, for myself, my heirs, executors and administrators waive and release and all rights and claims for damages I may have against the City of Charleston, The Kanawha County Board of Education and any other individuals and organizations assisting with the run, for any and all injuries suffered by me and/or my family in the event. I verify that I am physically fit and have sufficiently trained for the completion of this event.
_____________________________________________________________________
Signature (Parent or Guardian must sign if under 18)