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20th Run Against Drugs |
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Each entry must be on a separate race form |
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Race Date: |
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One form per person |
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Cost: $10.00 Pre Registration |
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The Run will be held at: |
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$15.00
Day of the Race |
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Run T-shirt included in the cost |
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1 mile 8:00 am (all ages) |
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Make checks payable to: |
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5K |
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Upper Deerfield Schools |
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After the 5K Race Pizza & Soda to all runners |
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Mail to: |
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Awards in all age groups: 1st, 2nd, & 3rd |
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C/O Dawn Magee |
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Questions: Julia Walton |
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(856) 455-2267 ext. 3215 |
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Please check (X): |
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Age Groups (Circle One) |
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1 Mile _______ (all age groups) |
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7- under
20-29 |
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5K ______ (10 & Older) |
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8-9 30-39 |
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Both Races ________ |
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10-11 40-49 |
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Handicap Mile _____ |
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12-14 50-59 |
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15-19 60 & up |
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__________________________________ |
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Full Name |
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Age is required _________ |
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__________________________________ |
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Full Address |
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Male
or Female (circle one) |
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__________________________________ |
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Phone number: _____________________ |
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City State Zip Code |
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Upper Deerfield Students ONLY |
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Circle One Youth Sizes: |
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Homeroom # __________ / Grade____ |
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Youth Small (6-8) Youth Medium (10-12) |
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Teacher's Name: ______________ |
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Youth Large (14-16) |
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Adult Sizes: |
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_____I do not wish to run but
would like |
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Small
Medium Large XLarge |
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to buy a t-shirt $5.00 each |
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Size: ____________ |
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Parent Signature Requested: ______________ |
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Name: ___________________________ |
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Homeroom: _______________________ |
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