8th Annual Turkey Trot 5K Walk/Run Saturday, November 1, 2014 10:00 a.m. Cooper Farms Processing Plant 1 Cooper Farms Drive, St Henry, OH 45883 MALE & FEMALE AGE GROUPS Visit www.cooperfarms.com or www.speedy-feet-com for registration information 9 Yrs. & Under, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60+ Proceeds to benefit State of the Heart Hospice Registration: Begins promptly at 9:00 a.m. Race Info: The Run/Walk begins at 10:00 a.m. The flat 3.1 mile course will start and finish at Cooper Farms with splits at each mile. Water will be provided on the course. Awards to Top 3 in Each Age Group & Top 3 Male and Female Overall Pre-registration with long sleeve t-shirt (Deadline 10-17-14)…………………………. $20 Pre-registration for age 14 & under (Deadline 10-17-14)…………………….…………..$ 5 ($14 with shirt) Pre-registration without T-shirt (Deadline 10-17-14)………………….……………………$11 Race Day Registration ………………………………………………………………..……………………$15 T-Shirts Day of Race (if available)………………………..……………………………………………$10 *****Mail form below or register online at www.Speedy-feet.com***** Water and refreshments, including turkey sandwiches will be provided for all participants. Race Contacts: Susie Fortkamp – (419) 375-4116 Jack Staugler – (419) 678-4853 [email protected] [email protected] ************************************************************************************************** Mail Form and Check To: Cooper Farms 5K Run/Walk, PO Box 339, Fort Recovery, OH 45846 ** NO REFUNDS** Name:________________________________________________________________ (Circle One) FEMALE MALE Address/City/State/Zip_______________________________________________________________________________ Phone:____________________________ Email:__________________________________________________________ Age as of 11/1/2014:_______ Please circle shirt size: Adult: S M L XL XXL (add $2 for XXL) Youth: M L Amount Enclosed $_________________________ I hereby release Cooper Farms, all sponsors, coordinating groups, and all individuals associated with the 5K Run/Walk and their representatives from any and all claims that may arise as a result of my participation in this event. I certify that I am physically fit and assume all risks associated with my participation in this event. ___________________________________________________________________ PARTICIPANT SIGNATURE AND PARENT/GUARDIAN IF UNDER AGE 18 _________________________ DATE **************************************************************************************************