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Sunday, March 15, 2009 -- Grafton, WV / Grafton High School, 400 Riverside Drive, Grafton, WV 26354
Grafton 5-Mile Run, 2-Mile Walk, Kids Run ENTRY FORM (iPO Event Id#: 11897)

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  • $15.00 // 5 Mile Run & 2 Mile Walk if registered by Monday, March 9, 2009
  • $18.00 // after Monday, March 9, 2009
  • $3.00 // Kids Run entry fee without a T-shirt

  • T-shirts will be guaranteed to the first 100 pre-registered (adult sizes - short sleeved), please pre-register so that you will be guaranteed a shirt.
  • In the event that we run out of shirts on race day, we will reduce the cost of the entry to $10.00.

Checks payable to: GHS

Mail to: Jackie Hunt c/o Grafton High School 400 Riverside Drive Grafton, WV 26354



NAME:_____________________________________________________________________________

STREET:___________________________________________________________________________

CITY:____________________________________________STATE:________ZIP:_______________           

PHONE:(__________) _______________-______________________

EMAIL:___________________________________________________

EVENT: 5 Mile Run:___ 2 Mile Walk:___  Kids Run:___ //   MALE:____  or FEMALE:____   

AGE:___ (On March 18, 2007)  // SHIRTS SIZE (adult): S   M   L   XL

WAIVER: In consideration of the acceptance of this entry, l waive for myself, my heirs, and assigns, all claims for damages which I might have against the race, its sponsors, or any other organization, business, or individual as a result of any and all injuries which might be received during the contest. l also release any photos that may involve myself.


__________________________________________________________________________________
SIGNATURE --- (Parent or Guardian, if participant under 18 years old)