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Butler County HOSA Presents: Cystic Fibrosis 5K Run/Walk

Butler County HOSA Presents:
Cystic Fibrosis 5K Run/Walk
Date: October 26, 2013  
Starting Location: Butler Co. Middle School                                     
Times: 2:30pm- Registration Begins
            4:00pm- Run/Walk Begins
Entry Fee: $15.00 Adults   $10.00 Children ages 10 and under
*** Entry fee includes a t-shirt
***Form and Money can be turned in or mailed to Jenny Joiner at Butler County Tech School 178 Academic Way Suite 400 Morgantown, KY 42261. Shirt is guaranteed if form and money are turned in by October 8th, 2013. You can also sign up at the event but shirts may be limited.
***If you have any questions contact Jenny Joiner at 270-526-2223 or Ashlenn White at 270-999-8922.
***All proceeds go to the Cystic Fibrosis Foundation***
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5K Cystic Fibrosis Run/Walk Entry Form
Name: ___________________________________________________
Age: _______________         Shirt size: __________
***In consideration of my entry, I for myself, my executors, administrators, and assignees, do hereby release and discharge the City of Morgantown, Butler County Area Technology Center, and the sponsors for all claims of my participation in said athletic event. I attest and certify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently able to participate in this event.
Signature: ______________________________
            (Parent signature if under 18)

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