3rd Annual Chance Mark Jones Roar ‘N Run 5K Saturday, April 11th, 2015 - 9:00 a.m. Clarendon, TX Clarendon College Bairfield Activity Center – 1122 College Drive (Race will be through Clarendon – starting and ending at the College) Race Information: Early Bird Rate: $20.00 registration fee for both walkers and runners. After April 1st: Registration is $25.00 (no shirt guarantee for those that register after April 1st) This event is presented by the Clarendon Lions Club and is being held in conjunction with National Child Abuse Prevention Month. All proceeds will support the charitable activities of the Clarendon Lions Club. Registration and Packet Information: Registration Forms may be picked up and/or dropped off in person at 110 S. Kearney (Clarendon Visitor Center @ the Mulkey Theatre) or mailed along with your check to: Clarendon Lions Club P.O. Box 1081 Clarendon, Texas 79226 *Please make checks payable to “Clarendon Lions Club” We are also accepting online registrations at: Race Packets/Bags: Each participant will receive a bag containing a T-Shirt & some goodies. Water and snacks will be provided on the day of the event. Bags will be available for pickup from 9 a.m. -5 p.m. on Friday, April 10, at the Clarendon Visitor Center, or on the morning of the event beginning at 7:00 a.m. at the Clarendon College Bairfield Activity Center. Additional Information: Please contact: Ashlee Estlack, [email protected] or 806-874-4808 (office) or 806-662-4687 (cell, text friendly) or Roger Estlack, [email protected] or 806.874.2259 (office) or 806.662.4689 (cell, text friendly), or Chandra Eggemeyer, [email protected], 325.234.3401 (cell, text friendly). Registration Forms may be dropped off in person at 110 S. Kearney (Clarendon Visitor Center at the Mulkey Theatre) or mailed along with your payment to: Clarendon Lions Club P.O. Box 1081 Clarendon, Texas 79226 Please make checks payable to “Clarendon Lions Club” Early Bird Registration: $20 Registration After April 1: $25 FULL NAME: ______________________________________________________ AGE: _____ SEX (M or F): ____ PHONE: ____________________________ ADDRESS: ___________________________________________ CITY: _____________________ STATE: _________ ZIP:_______ E-MAIL: _____________________________________________________ CHECK ONE: RUNNER/WALKER: _______ SLEEP-IN OPTION*: _______ *I can’t attend the race, but I would still like to support the cause. Donations of $20 or more will receive a race T-Shirt. Adult T-Shirt Size (Please circle) Small Medium Large Youth T-Shirt Size (Please circle) Small Medium Large XL XXL WAIVER: I know that running a road race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I assume all risks associated with running this event. Having read this waiver and knowing these facts and in consideration of you accepting my entry fee, I, for myself, and anyone entitled to act on my behalf, waive and release the Clarendon Lions Club, City of Clarendon, Clarendon College, and all sponsors, their representatives and successors, for all claims or liabilities of any kind arising out of my participation in this event. _______________________________________ Signature (Parent’s Signature If under 18) __________________ Date
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