5th Annual
Shared Blessings 5K & 1 Mile Fun Run/Walk
March 28, 2015 FUN RUN/WALK-7:30 A.M. 5K- 8:00 A.M.
: Starts @ 6:30 A.M.
1st & Choctaw McAlester, OK 74501
Mascoto Chiropractic (Phone: 918-423-9355)
Shared Blessings
sharedblessings.tv or mascotochiro.com
Registration Price: $
-Adult - $
Kids 12 & Under
Additional Donation: $______
Total Enclosed:
$______
*Please Mail & Make Checks Payable to
P.O. Box 3685 McAlester, OK 74502
__________________________________
______________________
________________________
____
_____
_______________
M
____
F
_________
________________________________________
____
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 your accepting my entry fee, I, for
myself, and anyone entitled to act on my behalf, waive and release Mascoto Chiropractic, City of
McAlester, Shared Blessings, and all sponsors, their representatives and successors, for all claims or
liabilities of any kind arising out of my participation in this event.
_________________________________________________
________________________