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RACE TO FIGHT PREMATURE BIRTH
5K Run/Walk March 28th, 2015
Entry Fee: $25 Registration: 7:45am-8:15am
Start Time: 8:30am
Location: Start and Finish at the North Jefferson Pavilion in old Cedar City.
(Rain or Shine or Snow)
Every day, thousands of babies are born too soon, too small & very sick. We're racing
because we want to do something about this. The money we raise will support March of
Dimes research & programs that help moms have full-term pregnancies & babies begin
healthy lives.
Awards:
Presented to overall male and female finishers. As well as top three finishers in all age
groups (15 & Under, 16-25, 26-35, 36-55, 55 & Up)
Best Hero Contest: Dress as your favorite Hero to fight against premature birth (optional)
winners gets automatic entry for next year race.
*Donations Welcome: (Checks payable to: Be A Hero)
Online payments or donations: www.marchforbabies.org/team/beahero5k
Contact Person: Katie McIlwain cell (573) 353-3403 email [email protected]
Check us out on Facebook https://www.facebook.com/groups/188246938052458/
Be A Hero – Registration Form
Please mail pre-registrations to MOD, Attn: Katie McIlwain 2401 Allison Dr, Jefferson City, MO 65109.
Forms must be received by March 20 to assure T-Shirt
Name _______________________________________
Circle One: 5K run
5K walk
Address:____________________________________
T-Shirt Size: S M L XL XXL
City: ________________ State:_____ Zip _______
Sex: M ____ F ____
Age: ________
Phone: _____________________________________
Email: _________________________________
How did you find out about the race: _____________________________________________________
RELEASE: In consideration of my participation in this event, I hereby release March of Dimes, Katie McIlwain,
and all other sponsors from any claims, demands, and causes of action as a result of my voluntary
participation in this event. I am aware of the risks of participating and hereby assume all risks.
Signature of Participant
(Or Guardian if under 18) _____________________________________________________________ Date ____________