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5K Sargent County Fair Run/Walk Saturday, July 27th 5 K Run/Walk 8:00 am Kid’s Fun Run to Follow ENTRY FEE: $20 - 18 and under before July 20th $25 – 19 and over before July 20th After July 20th add $5.00 Proceeds will go to the Sargent Central Health and Wellness committee NO roller blades or bicycles (Strollers okay!) AWARDS: Top 3 overall Male and Female finisher and Top 3 in each category: 0-14 15-25 26 – 49 50+ will receive medals Every participant will receive a Sargent County Gate Pass for Saturday T-SHIRTS: Guaranteed to those who register by July 8th REGISTRATION: Mail in form below and check made payable to: Kristine Askerooth register the day of the race between 7:30 am and 8:00 am at Sargent Central School Parking lot in Forman. Mail to: Kristine Askerooth; 14248 88th St SE; Cayuga, ND 58013 ------------------------------------------ cut here ----------------------------------- cut here --------------------------------------------------- Name: _____________________________________ Address: ___________________________________ City/State/Zip Code ________________________ Age: ___________ Male/Female _________ T-Shirt Size: Adult Small ____ Medium ____ Large ______ X-Large______ XX Large _____ Child Small _____ Medium _____ Large ______ WAIVER: I, the undersigned, intending to be legally bound for myself, my heirs, executors, and administrators, do hereby release any and all sponsors of this race and their representatives, successors, and assigns, from any and all liability arising from illness or injuries I may suffer as a result of participation in this race. I also understand that entry fees I pay are not refundable. I have read the foregoing and certify my agreement by my signature below. ______________________________________________ _______________ Signature (Signature of Parent or Legal Guardian is under 18) Date |