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Saturday, November 24, 2007 -- Green Bank, WV / National Radio Astronomy Observatory
Green Bank 5K Run/Walk (iPO Event Id#: 10537)
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Fee: $10.00 in advance, $12.00 on race day --- T-shirts: Mail form with fee by NOVEMBER 5, 2007 to get one!

Mail to: Mike Stennes - Green Bank 5K, PO Box 2, Green Bank, WV 24944


NAME_________________________________________________________________

FEMALE _____  MALE______       AGE (as of 11/24/07)_________

ADDRESS______________________________________________________________

_____________________________________________________________________

TEE SHIRT SIZE   (Please Circle)

ADULT:  S    M    L   XL    XXL

CHILD:  S    M    L   XL

RELEASE AND WAIVER: : I assume all risk involved in this event. I hereby, for myself, son/daughter, waive and release all rights and claims for damages or injuries against NRAO, Pocahontas Board of Education, volunteers, and officials associated with this event. Participants under the age of 18 must have parent/guardian sign form.

NAME_______________________________________________________________

DATE_____________________________