2nd Annual
Attica Fair
BOOTS - TO - SHOES
5K Run/Walk
1 mile Kids Fun Run
Sunday, August 9, 2015 at 8:30 AM
Attica Fairgrounds
15127 E Township Rd 12
Attica Ohio 44807
This year’s proceeds will benefit the Jr. Fair Building Fund
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Pre-registration fee: $15.00 if received by July 31, 2015 (includes T-shirt)
Registration fee after July 31st thru race day: $20.00 (no T-shirt guaranteed)
Kids 1 mile Fun Run (ages 5–12): $7.00 (no T-shirt)
Race day check-in will be from 7:30 – 8:15 AM at the Secretary’s office
Fun Run will begin promptly at 8:30, with the 5K run/walk immediately following
Awards given to: Overall Male and Female and top three finishers in the following age
categories: 20 and under, 21-29, 30-39, 40-49, 50-59, and 60 and over
Please mail completed form below along with check/money orders payable to:
Attica Independent Fair
PO Box 433
Attica Ohio 44807
For more information contact: 419-366-0554 or 567-224-7695
Please visit our website www.atticafair.com for additional registration forms
----------------------------------------------------------------------------------------------------------------------------- ------------------------------------Please print (one participant per form):
Name ________________________________________________________________
Address: _____________________________________________________________
City: _______________________________ State: ________ Zip: ______________
Age:________________________________ Gender: _________________________
Email address: ______________________________________________________
Event (circle one):
5K run
5K walk
T-Shirt Size ________________
(Adult size S – XXL)
Fun Run
I agree that I will not hold the Attica Fair Independent Fair or any other organizing parties liable for any injuries or accidents incurred during the Boots to Shoes 5K
Run/Walk and Fun Run. I assume all responsibilities as a result of being permitted to participate in this event.
Signature: ____________________________________________________________ Date: _____________________________
(Parent or Guardian signature required for entrants less than 18 years of age)