Monday, March 21, 2011

Hanska 5K Fun Run/Walk Entry Form

Hanska’s 1st Annual
UFF DA
Just for Fun 5K Walk/Run
Saturday, May 14th - Hanska City Park
Registration opens at 8 a.m. - Race time 9 a.m.
All proceeds from the race to benefit
Cancer Center Expansion and Renovation Project
(New Ulm Medical Center)
Pre-register by May 1st for $17
(late registrations will be accepted after May 1st at a cost of $20.)
Registration Fee Includes:
T-shirt (circle size below)
Water and Fruit after the race
All walkers/runners are eligible for door prizes.
For More Information contact:
Rhonda Froehling
507-439-6453 or
Chris Fischer/Hanska City Clerk
507-439-6246
 
Please complete form and mail with your check payable to:
Hanska Women of Today
PO Box 242
Hanska MN 56041
FIRST NAME:____________________LAST NAME:___________________________
ADDRESS:____________________________________________________________
CITY:____________________________STATE:_________ZIP CODE:____________
EMAIL:_______________________________________________________________
CIRCLE SHIRT SIZE: Small Med Large XL XXL
Waiver of Claim: (must be signed or entry is invalid)
I assume responsibility for my own safety. I recognize the hazards and risks involved in walking/running and agree that the City of Hanska and the Hanska Women of Today are not responsible for any accidents or incidents that may occur.
Signature:___________________________________________________________
*If participant is under age 18, signature of parent/guardian is also required.
 
 
 
 
 
 
 

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