SpeedReadRegistration2012FINAL PDF

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CL B LI

IBRARY S

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5 AD RE

JEFFERSON PUBLIC LIBRARY

JEFFE

RS O

SPEED READ 5K
Saturday, December 1, 2012 1K Junior Jog Begins 1:00 PM 5K Race Begins 1:30 PM Walkers Welcome!

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Location:

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01 B E R 1, 2

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Registration:

Jefferson Civic Center 65 Kissam Street Jefferson, GA 30549

Detach and mail in registration form below by November 26 Make checks payable to Friends of the Library Race Day Registration begins at 12:00 Noon

Benefit: Jefferson Public Library

Supports reading programs and the construction of a new library facility.

Entry Fees:

Awards:

Pre-registered: $15 Race Day: $18 Family: $40 (pre-registration max up to 4 family members) Additional Family Members $6 with Family Registration Runner Only (no shirt) $10 pre-registered, $15 Race Day

Top male & female overall, top male & female masters, top 3 male & female finishers in 15 age groups: 10 & under 11-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75 & over

T-Shirts:

Official T-shirts to all pre-registered contestants

Race Sponsored by:

The Friends of Jefferson Public Library http://jeffersonfriends.prlib.org www.facebook.com/jeffersonpubliclibrary


For more information, contact: Nancy Solie: 706-340-3755, or Amy Carlan: ACarlan@PRLib.org

% entry per person. Do not mail after November 26, 2012 One

Send payment to Friends of the Library c/o Jefferson Public Library 379 Old Pendergrass Road, Jefferson, GA 30549

Last Name__________________________________________First Name______________________________________ Address_____________________________________________City_______________________State_____Zip________ Phone_____________________________E-mail_______________________________________Age______Sex_______ 100% Cotton Adult T-shirt Size: S_______M_____L_______XL______Youth L_____ 2X (add $2.00)________

In consideration of acceptance of this entry, I waive any and all claims for myself and my heirs against officials and sponsors of the 2012 Jefferson Public Library Speed Read 5K Road Race for illness or injuries which may result, directly or indirectly from my participation. I further state that I am in proper physical condition to participate in this event. Signature___________________________________________________________Date___________________________ Under 18 Parent Signature___________________________________________________________________________

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