Wright State 5K Registration

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Wright by the Lake sk Run/Walk (Lj 1 t Date: er May 15, we Time: 9:00 A.M. Sharp WRIGHT STATE Location: Wright State University-Lake Campus. UNIVERSITY Course: 5K (3.1 Miles) Around the beautiful campus and by the lake Entry Fee: All Proceeds Benefit Ohio's Children ‘Miracle Network Hospitals $10.00 Pre-Registration without T-Shirt /Wright State Students, Faculty, & Alumni $5.00 Children's Miracle Network isa ‘non-profit organization that $15.00 Pre-Registration with T-Shirt / Wright State Students, Faculty, & Alumni $10.00 Zedeme fizsds Sor soae (hea 170: " children's hospitals. Donations Pre-Registration Deadline is May 1", 2010 ‘te Children's Mivaals Network create miracles by funding 14,00 Race Day Registration without T-shirt /Wright State Students, Faculty, & Alumni $12.00 $ jace Day Registration without [Wright ts, Y $1 snedical care, research and ‘*Registrotion starts ot 8:15 a.m. and ends at 8:45 a.m. education that saves and {$6.00 T-Shirt on Race Day (if available) Children's Miracle we Network’ Awards: Top three male and female runners with receive awards. For Runners: Water on course will be provided, Splits given at 1" and 2" mile, Refreshments and fruit at finish, Restrooms located on campus. Official Entry Form for 2010 Wright by the Lake Sk Name: WSU UID/Faculty Position/Year Graduated: Address: Male or Female (Ciccone) City: State: Zip Code: Phone Number: Shirt size SMLXL (ere one) ‘Amount of Check Enclosed: (Wake Checks Payable te: Heather Waterman/ In Memo Bi ice Wright by Late Sk) emit and Mail To: Wright State University Lake Campus 7600 Lake Campus Drive Celina, OH 45822 ‘atin: Wright by the Lake Sk Gall 819-305-9911 for more into. hereby release and discharge the Wright by the Lake 5k Committee, Wright State University-Lake Campus, Wright State University ‘Alumni Association, Mercer County EMS and the City of Celina and their representatives or agents, from any liability for injuries or less which may drecty or indirectly result from participation inthis race. attest that lam physically ft and have sufficiently trained for this race. (Signature of Pariicfpant or ParenGuardian Wunder 78)

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