| The Leukemia & Lymphoma Society's |
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| Team In Training |
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| 5K MEMORIAL RUN the 2nd |
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| 1 Mile Walk/Run |
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| August 1, 2009 7:30am |
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| Beach Park |
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| Pre-registration $20 Entry Fee |
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| $25 Procrastinators' Entry fee after dates below |
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| Awards 3 deep in 10 year age categories, male and female, and overall in 5K |
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| Completion awards to all 1 milers |
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| *Help raise funds to find a cure for blood related cancers and improve the quality of life of patients and their families. |
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| *Run in memory of those who have lost their fight against leukemia, lymphoma, or myeloma. |
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| Packet Pick-up/Race Day Registration 6:30-7:00am |
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| Team In Training 5K MEMORIAL RUN |
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| Please make checks payable to: The Leukemia & Lymphoma Society |
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| Mail completed entry form to: | For more information call: |
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| Team In Training Memorial Run | Bruce Wearda (661)665-9503 |
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| 11212 Mirrored Image Ct | Register online: www.bakersfieldtrackclub.com |
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| Bakersfield, CA 93311 | Navigate to the calendar |
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| Postmarked before July 24, 2009. | Register online up to July 29, 2009. |
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| FIRST NAME: | LAST NAME: |
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| ADDRESS: | CITY, STATE, ZIP: |
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| PHONE: | SEX: M F | DOB: | AGE ON RACE DAY: |
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| EMAIL: RACE: 5K 1 mi |
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| WAIVER: ALL ENTRANTS MUST SIGN. IF ENTRANT IS UNDER 18 YEARS OF AGE, A PARENT OR GUARDIAN MUST SIGN. In consideration of your acceptance of this entry, I hearby for myself, my executors, and administrators, waive any and all rights and claims for damages I may have against the sponsors, coordinating groups, and any individuals associated with the event. I acknowledge none of the above are responsible for the loss of personal items nor any form or aggravation in connection with the said event. I have been warned I must be in good health to participate in this event. In filling out this form, I acknowledge I have read and fully understand my own ability and do accept the restrictions. |
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| SIGNATURE: | DATE: |
