Springmaid Road Race

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Saturday, November 10, 2007

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5K & 10K

Leroy Springs Recreation Complex

Fort Mill, SC

Time: 8:00 AM start for both events

Entry fees:

           $15 for 10K or 5K with long sleeve t-shirt

Activity Number: 891110-01(5K) and 891110-02 (10K)

           Additional $5  LATE fee after October 26, 2007

Last day to register  Wednesday, November 7, 2007

 

 

 
Text Box: Make checks payable to: Leroy Springs & Co. Text Box: Springmaid Road Race PO Box 280 Fort Mill, SC 29716-0280 Text Box: T-shirt Size: S M L XL Text Box: WAIVER AND RELEASE (Read Carefully): In consideration of the acceptance of this entry in the Springmaid Road Race, I, for myself and my heirs and assigns, waive any and all claims to which I may become entitled for injury or damage and hereby release Leroy Springs & Co. and all other organizers, sponsors, representatives, their agents and employees, and any person or organization assisting in putting on the event from any and all claims for damages or injury incurred by me as a result of my participation or in traveling to or from this event. I further state that I am in proper physical condition to compete in the10,000 Meters (6.2 miles), and/or 5,000 Meters (3.1 miles). I also give permission and unrestricted use of my name and picture in any broadcast, telecast or written account of the event. Text Box: Event: 10K 5K Text Box: Amount Enclosed $ ____________ Text Box: You may also FAX in your entry form: (803) 547-3273 Make sure you include complete credit card information: Text Box: Circle One: VISA MASTERCARD DISCOVER CHECK CASH Text Box: Credit Card Number: ___________________________________ Expiration Date: ______ /_____

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