Relay for Life 5k and Fun Run Saturday May 3, 2014 Fun Run 8am/5K 8:30am Clarkesville Elementary School 6539 Hwy 115 W Clarkesville, GA Entry Fees: Pre-registration $25 by April 27, $30 afterwards until race day. Fun Run $15. T-shirts guaranteed to all those participants pre-registered by April 11 only. Phantom Runner $15 Onsite registration begins at 7am OR you may register online at www.active.com Awards: Awards will be given to Overall M/F, Masters M/F and to three in age groups beginning 10 and under through 70 and over. Information: for additional information, please contact Cameron Lopez at [email protected] or Nancy Kelley at [email protected] ---------PLEASE PRINT ALL INFORMATION- ONE ENTRY PER FORM-----------Mail Registration from to: Relay for Life 5K c/o AAA Race Services, 5666 Holiday Circle, Oakwood, GA 30566 or May be dropped off at Southern Bank & Trust. Make checks payable to: Stanley’s BFF’s Name: _______________________________________Gender ____ Address: ___________________________________City_______________________ State______ Zip__________ Phone_______________ Email__________________ Age______ Shirt Size YM S M L XL Amount enclosed: _______5k or 1 mile Fun Run (circle one) Waiver: In consideration of acceptance of this entry, I waive any and all claims for myself and my heirs against the City of Clarkesville and the American Cancer Society employees, volunteers, sponsors for injury or illness which directly or indirectly results from my participation in this event. I further state that I am in the proper physical condition to participate in an event of this nature. Signature______________________________________ Date _____________________________ (Parent Signature if under 18)
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