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1st
Annual Apple butter 5k
Covenant Youth on
Mission
5k Timed run
Enjoy the 43rd
Annual Apple Butter Making Days after the race!
Sat. Oct. 9=
th
2010 8:00am
Location: Eli=
’s
Shortstop & L & M Tire, West end of Bus. Loop in Mt. Vernon, MO
Age Division: 0-1=
4,
15-24, 25-34, 35-44, 45-54, 55-64, 65 & over
Awards: Top=
2
finishers M/F in all Div. & Oldest & Youngest
Course: Com=
plete
3.2 mile loop flat with one minor hill in a turn. (This will be a great cou=
rse
for novice runners & very fast for seasoned vets) Start west out of L&a=
mp;M
on south Bus loop shoulder to Hayward Dr. to Landrum back to Business loop =
and
finish at L&M.
Registration: $20=
in
advance of race (must pre-register by Thur. Oct. 7th)
=
&nb=
sp;
$25 up to race time after the 7th (7:00-7:45 race day)
Contact: Der=
ick
Barnes (417) 353-2192 or (417) 466-7068
Please make checks payable to: Covenant Baptist =
Church
Clip & Mail to:<=
/i> Cov=
enant
Baptist Church 1350 E. Industrial Dr.
=
&nb=
sp;
Mt. Vernon, MO 65712 or Mail or drop off @
=
&nb=
sp;
Ridge Runner Sports 3057 S. Fremont
=
&nb=
sp;
Springfield MO 65804
Name:___________________________ Age:_____ DoB:________ Sex: M F
Address:_____________________________________ Ph=
one#____________
C/S/Z:__________________________Email___________=
______Shirt
size: S M L XL
Wavier: I know that running a road race is a
potentially hazardous activity. I know that I should not enter unless I am
medically able and properly trained. I understand that it is my duty to wat=
ch
for traffic and coarse defects. Knowing these facts and in consideration of
your accepting my entry, I hereby for myself, my heirs, executors,
administrators, or anyone else who might claim on my behalf, covenant not to
sue, and waive and release and discharge Covenant Baptist, race officials,
volunteers, local and State police including and all their agents, employee=
s,
assigns, or anyone acting for or on their behalf from any and all claims or
liability for death, or personal injury. Minors are only accepted with a pa=
rent
or guardian signature. PLEASE READ WAIVER BEFORE SIGNING.
Today’s date:___________
Signed:______=
____________________Parent
or Guardian:_____________________