Liv a Life of Love 1st Annual Liv’s Run for Life 5K Promoting the Gift of Life through Organ Donation Awareness #livon #donatelife #organdonation Race Date: Saturday, April 18, 2015 Race Location: Republic Aquatic Center 711 E. Miller Road, Republic, MO 65803 Race Time: Registration at 7:00a.m. Race starts 8:00 a.m. Packet Pick-Up: Friday, April 17, 12:00p.m-6:00p.m. Ridge Runner Sports 3057 S. Fremont, Springfield, MO 65804 Race Day 7:00 a.m. at the RAC. Fee: $30.00 (If received by April 17, 4:00p.m.) $35.00 (Day of the Race) Awards: Ceremony immediately follows the race. Medals awarded for overall male and female runners. And 1st, 2nd and 3rd in multi-age classes. Refreshments will also be offered to runners after completing the race. Age Groups: <15, 15-25, 26-35, 36-45, 46-55, 56-66, and 66+ T-Shirts: Guaranteed with paid registration received by March, 28th For more information follow us on Facebook at Liv’s Run for Life Questions contact Angela Rose 417.399.8240 or email [email protected] Proceeds benefit the Olivia Lauryn Didway Scholarship Memorial Fund and MTS Family House, St. Louis, MO Name___________________________________________________Birthdate: ________/__________/________ Email_______________________________________Address______________________________________________ City___________________________________________________State_____________Zip______________________ ______________________ Phone (___)_______________________________Male_________Female_________T-Shirt: S_____M_____L_____XL_____2XL____ I, hereby for my heirs, and myself waive any and all rights for claims on this event in case of injury. I also release and hold harmless any sponsors, including Ridge Runner Sports, Inc. and Ozark Racing Systems, volunteers, and organizers of this event. I, by signing below, specify that I am in acceptable shape and medical condition to compete in this event. No refunds will given if cancelled due to inclement weather. ____________________________________________________________________________________________________________ Participants Signature Parents Signature if < 18 yrs. Of age Please detach and return the registration form with payment. Make checks payable to Liv’s Run for Life Memorial Fund. Mail to 416 E. Sequoia Republic, MO 65738. Drop off at Ridge Runner Sports 3057 S. Fremont, Springfield, MO 65804. OR Pay via credit card at www.ozarksracing.com Sponsored in part by: Mid-America Transplant Services, Donate Life of Missouri, Kris Yocum State Farm Insurance, Supplement Superstores, Paula Silverest, Realtor Keller Williams Reality, Leslie Forbis, Studio 484 Hair Designs, Carla and Ronnie Gillespie, Krystal Klean Solutions, LLC Sponsored in part by: Mid-America Transplant Services, Donate Life of Missouri, Kris Yocum State Farm Insurance, Supplement Superstores, Paula Silverest, Realtor Keller Williams Reality, Leslie Forbis, Studio 484 Hair Designs, Carla and Ronnie Gillespie, Krystal Klean Solutions, LLC Sponsored in part by: Mid-America Transplant Services, Donate Life of Missouri, Kris Yocum State Farm Insurance, Supplement Superstores, Paula Silverest, Realtor Keller Williams Reality, Leslie Forbis, Studio 484 Hair Designs, Carla and Ronnie Gilepsie, Krystal Klean Solutions, LLC
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