Registration: 7:15 a.m. -- 7:50 a.m. at Hands On Health Inc. 601 Main Ave
Entry Fees: $12.00 thru June 22nd; $15.00 June 23rd thru July 14th
Only registrations received by June 22nd are guaranteed an t-shirt on race day.
Start Time: 8:00 a.m. -- 5K Run/ Walk
Awards: 1st place 5K Run by age: Male/Female
11 & under (must be accompanied by an adult)
12-14, 15-18, 19-29, 30-39, 40-49, 50-59, 60 & over
* Fastest Overall Male & Female 5K Runner
*Youngest Participant/Oldest Participant
PRE-REGISTER TO GUARANTEE YOUR SHIRT ON RACE DAY!!
Refreshments: Provided after the race for participants.
__________________________________________________________________
Upon submitting this entry form, I waive any and all rights and claims for myself, heirs and assigns for any personal and/or property damage I may have against the sponsors, organizers, agents, or anyone acting in their behalf for the organization of this event. This entry form will also authorize the release of my name and photo to the media.
Name____________________________________
Address__________________________________
City/State/Zip_____________________________
Phone___________________________________
Sex: M or F ____________
Age (as of 07/14/07)____________________
Registration Fee _____________________
($12 thru June 22nd; $15 thru June 23 thru July 14)
T- shirt size
S (34-36); M (38-40); L (42-44); XL (46-48); XXL (50-52)
YM (10-12); YL (14-16)
Entry fees payable to Boss Cowman Fun, Run & Walk. Submit completed form to
Hands On Health, Inc.
601 Main Street
Lemmon, SD 56738
Phone: (605) 374-5844
Fax: (605) 374-9524
