run for the house 2013

8/22/2019 Run for the House 2013

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Run For The House~~- - ~~~~- - ~~- - ~ - - - - - - - - -:~ ~ - - - - - - - - ~ ~ ~ - - ~ - - - - - - - - - - - --. ADDRESS. =I _ ~ s : i -,.c: c: S " ' 1 ; ; , 1 > 0 . . . . H ::t s ; : ; & ! s lNt m8 BI U I ' E ~o


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RunForThe

nd, completed registration form & entt.y fee to:un for the Housetn: Andi Walker

11W. Church St.IA 50158uestions can be emailed to:

ditional registration forms can be found at.facebook.com/RunForTneH.OuseMarshalitown

acket pickup: Saturday, September 7thom 6:00-7:45 am W s ::. . . . . E - t ~ < l>UlUl : : sp. . s :: 00 i:L::I!. .. . . . . . . . ~ 1 : : c tSc tS. . .Ul

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RunForThe

, completed registration form & entry fee to:un for the Housettn: Andi Walker11 W. Church St.arshalltown, IA 50158uestions can be ernailed to:

.comdditional registration forms can be found at

.facebook.com/RunForT eHouseMarslialltownake checks payable to: House of Cempassion

acket pickup: Saturday, September 7throm 6:00-7:45 amwards will be presented ta top two male and: topo female finishers in each age group.

arents please note thateourse will be rnDonPEN roads.O DOGS ALLOWED AT THIS EVENT BYORDERF THE CITY OF MARSHABL.TOWN

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(1)W s ::. . . .. . ~ .s: : (1)UlUl ::iI:) . . . s :: 00 i:i:::r!""+p : ; 1 : : c tSc tS+Ul

.:~ - - - - - - ~ ~ - - ~ ~ ~ - - ~ - - - - - - - - - - - -: NAME~~~~~- - ~~- - ~- - ~- - - - - - - - -: ADDRESS: ~ > ~ - - - - . ~ ~ ~ ~ ~ ~ ~ - - - - - - - - - - - - - -mn mCOOEIi~!: ENTRY FEE: 0 $25 Entq before August 30th: 0 $30 Late Entry ~no shirt guaranteed)iii

Run For 'nhe House

T-SHIRT SIZEOS 0 DLDXLDXXL

Release of LiabilityIn consideration of your acceptance of this entry form, Ihereby, for myself, my heirs, executors, andadministrators, waive any and all rights and claims fordamages Imay have against individuals associated

with this event, its agents, successors and assigns, forany and all injuries suffered by me in said event. Iattest and verify that Ihave fullknowledge of the risks

involved in this event and I am physically fitandsufficiently trained to participate in this event.

Signature Date(Parent signature if participant is under age 18)

moldP8Ik -WSooneS!

tI}W. . "0.W

~zrmWNevada 51 -

run for the house 2013

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