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5K for Kristi

5K for Kristi

5K Fun Run / Walk

Benefitting Coach Kristi Karr

Where:      The Orchard at 99 Highway and Allen Road

When:         Aug.11, 2010 at 7:00 pm (Registration at 6:00)

 

Why:      Medical expenses from trip and illness

Name   

Address    

Phone           Email   

Age / grade for 2010-2011 (if  applies)  

Age divisions listed below…awards donated by  
Laser Expressions, Emporia, KS
Top female and male will be awarded and awards for 5K participants only…

5th grade & below      6th-8th grade       9th-10th       11th-12th    
Adults     18-29      30-39   40-49    50-59     60 & above   

5K Run/Walk   Adults    $10      
Student   $5      
1.5 Honor Walk (Donation)        
mail entry form to:
Kim Dhority 
2255 Rd.240 
Reading, KS  66868
OR
Forms will be automatically sent to Kim Dhority upon pressing the submit button.


for this form to work correctly you must have a mail client similar to outlook or outlook express set up on your computer.

Click here for a printable version of the entry form

Make check payable to:     Kristi Karr / Morgan Medical Fund

Thank you for your support for Kristi!

 

This is a cross country course and participants assume the risk and liability.

 

  Signature of participant:  ____________________________

 

      (if under 18)  Parent/Guardian:  ______________________________

 
 

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