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 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)
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