Proceeds will benefit the 12U Thibodaux Thunder Baseball Team and will be used to attend the Hall of Fame Invitational Tournament in Cooperstown, New York Pre-register by: 2/6/2015 (guaranteed a t-shirt) Date: 2/21/2015 Entry Fees: Registration: 7:00 AM $25 pre-registration $30 race Day Registration 1 Mile Fun Run: 8:00 AM 5K Run/Walk: 8:15 AM (make checks payable to Thibodaux Thunder) Donation (if you are not able to participate but would like to make a donation) Location: Peltier Park Thibodaux, LA For More Information Contact: Jason Templet: 985-803-0372, e-mail: [email protected] 1 Mile Fun Run T-shirt size: S M L YS YM YL XL XXL 5K Walk/Run Name YXL Address By signing below, I hereby waive any and all claims for damages that may arise against the promoters or sponsors of this race, or any entity involved, in regard to any and all injuries or loss of property which may be suffered by me while traveling to or from, or participating in, this event. I attest that I am physically fit and sufficiently trained to participate in this event.. Mail form and entry fee to: Thibodaux Thunder c/o Jason Templet 266 Meadow View Ct Thibodaux, LA 70301 Phone Sex Age on race day Signature Date Signature of parent or guardian if under 18 years of age. Date
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