| Registration: $10.00 Fee. All pre-registered participants receive a T-Shirt. Dead line is August 17, 2001. Registration accepted after this date, but is not guaranteed. Packet Pickup: 7:00 a.m. - 7:45 a.m. Awards: Top 3 Male and Female overall. Awards to 1st - 3rd winners in each of the following
age groups; 9-11, 12-15, 16-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60 and over. Ribbons to all finishers 11 and under. Information: Contact Tim Kellis @ 513-539-8658 or at kellisjcpt@cs.com Course: Down &Back - "Rolling Terrain" Begin at Lynette and Moder (behind 1st Baptist Church of Monroe), left off of Moder onto Mason, left onto Main Street, right onto Lebanon, right onto Gallaher, right onto Bridle Creek Drive, circle the Bridle Creek Gazebo,back up Bridle Creek Drive to Gallaher, left onto Gallaher, left onto Lebanon, left onto Main, right into 1st Baptist Church of Monroe. |
| Name:_____________________________________(print) Address:_______________________________________ City:__________________ State:________ Age:____________(as of 9/08/01) Daytime Phone:___________________________________ Evening Phone:___________________________________ Adult T-Shirt Size(circle one)S M L XL 2XL Waiver: The following release must be signed: In consideration of the acceptance of my entry, I myself, my executors, administrators and assigned do hereby release and discharge the "Monroe City Fest" Committee, all demands and action whatsoever in any manner of growing out of participation and pay my own medical and emergency expenses in the event of accident, illness or other incapacity, regardless of whether I have authorized such expenses and that I am physically fit and sufficiently
trained to participate in the event. Entry Signature:_________________________Date:____________ Parental Signature(if under 18)
________________________________________Date:____________ Medical Emergency Contact:
_______________________________________Date:___________ |
