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Saturday, October 28, 2000 -- Wheeling, WV
Auggie's 5K Run & Walk

Entry Fees: Pre-race registration $10.00 - deadline is October 20, 2000; $12.00 after pre-registration deadline $8.00 for children 14 and younger.

Please make checks payable to: OCSPCA

Mail entry forms to:
Tom Rownd
609 Chuckie Lane
Wheeling, WV 26003

Click here to return to the race Details Page


Name___________________________________________________


Address________________________________________________


City, State, Zip_______________________________________

 
Phone__________________________________________________

Age at race date_______________

Male _____ Female _____

Shirt Size ___M ___L ___XL ___XXL Runner ___ Walker ___
Waiver: In submitting this entry, I, intending to be legally bound for myself, my heirs, executors and administrators, waive, release and forever discharge any and all rights and claims which I may hereafter accrue against The Ohio Valley Runners Club, Inc. OCSPCA, any event sponsors, event volunteers, event staff, and their officers, directors, agents, successors and/or assigns for any all injuries suffered by me at this event while traveling to and from the event or while participating in the event. I attest and verify that I am physically fit and sufficiently trained for the competition of this event. I understand that I may be photographed and agree to allowing my photo, video or film likeness to be used for any legitimate purpose by the aforementioned parties.
Signature___________________________________________________

Date________________________

Signature___________________________________________________

Date________________________
(Parent's signature if entrant under 18)