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Ballou Skies

2 Mile Walk/Run Saturday June 22 9 A.M.


North Park Carnegie Shelter
Pearce Mill Road, Allison Park, Pa. 15101

nd

Early Registration: $15


(By Friday June 14th)

Mailing Address: PLB Sports, Inc Penn Center West Building 3 Suite 411 Pittsburgh, PA 15276 For more information contact: Matt Moorman Phone: 412-787-8800 Email: intern@plbsports.com

Regular Registration: $20


(By Friday June 21st)

Day of Event Registration: $25


*Starts at 8a.m. T-Shirt not guaranteed

REGISTRATION Name: _____________________________________ Address: ___________________________________ City: _______________________ Zip: ___________ Email: _______________________________ Total Amount Included: $____________
*Donations accepted online at www.ballouskies.com/donate.html (Subject: Walk) Email or mail form to address listed above

T-Shirt Size: S____ M____ L____ XL____ XXL____

Donation Submitted Online

I hereby release, wave, and discharge Ballou Skies, North Park Facility, and volunteers from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury that may be sustained by me or to any property belonging to me

Signature

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