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Holy Cross 2nd Annual 5K Run/ Walk

Date: Saturday, August 11th Time: 8:00am Firehouse Location: Holy Cross

Entry Fees:
$20.00 for pre-registered participants (prior to July 28th) $25.00 after July 28th (t-shirts not guaranteed to late registration or same day registration)

Packet Pickup:
Friday, August 10th from 6:30pm 8:00pm Saturday morning from 6:30am-7:45am All packet pickup will be at the Holy Cross Firehouse

Prizes:
Medals will be awarded to top 3 finishers in each age group Prizes will not be forwarded

Payments:
Send registration forms to Carmen Hefel 742 Highland Ct. Holy Cross, IA 52053 Make checks payable to Holy Cross Athletic Club For more information contact Carmen at (563)870-2013 or [email protected]
Last Name City Email Age on race day State Zip

First Name Address Phone Gender

5K Run/Walk(circle one)
17&under 18-29 30-39 40-49 50-59 60+

T-shirt sizes (circle one)


Youth Sm Youth Md Youth Lg Adult Sm Adult Md Adult Lg Adult XL *Adult XXL(add $2)

Liability Waiver: In consideration of your acceptance of this entry, I hereby, for myself, my heirs, executors, & administrators, waive any & all rights & claims for damages I may have against the City of Holy Cross, the Holy Cross Athletic Club, & any sponsor or contributor to this event & their representatives, successors & assigns for any and all injuries suffered by myself in said event. I assume all the risks associated with running or walking in this event, including, but not limited, to falls, contact with other participants, the effect of weather, traffic and the condition of the road, all such risks being known and appreciated by me. I attest & verify that I have full knowledge of the risks involved in this event & I am physically trained to participate in this event. By signing below, the individual/guardian accepts & agrees to the terms listed above.

Signature (parent or guardian must sign if under 18)_____________________________________________________ Date_________________

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