Da Bull-A-Thon

Memorial Walk
Saturday, April 14 9:00 AM at the Drexel School
T-shirt pick up and early registration Friday, April 13th, 3:00pm 7:00pm or Saturday, April 14th, 7:30 am -9:00 am at the main shelter house at the Drexel City Park. The walk will begin at the Drexel School and continue to the City Park for a day filled with additional activities, food and fun!

Join us In honoring the memory of chris moles

Proceeds from this special event support the Chris moles scholarship fund. Faith * Trust *Love

2012

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Chris Moles was a leader, brother, son, grandson, friend, teammate, and a very caring and giving young man. From an early age, he had a passion for all sports. He was an athlete, a member of the FFA and Honor Society. In his sixteen years of life, he touched so many hearts. On October 27, 2011, Chris Da Bull Moles joined the army of angels in Heaven to play for the Lords team. Please, join his family on Saturday, April 14, 2012 for the First Annual DaBull-A-Thon Memorial Walk. Name: __________________________ Address: ________________________ City: _____________ State: ________ Zip: __________ T-shirt size (circle one) Child: S M L XL Adult: S M L XL XXL XXXL Entry Fee: $20 Make checks payable to: Chris Moles Scholarship Fund Return this completed form and your registration fee to: Linda Moles, PO Box 173, Drexel, MO 64742 Entry fees are not refundable, transferable, or exchangeable

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REGISTRATION FORM Waiver of Liability By signing below, I hereby waive any and all rights and claims for damages I may have against sponsors, groups, or individuals associated with the event their representatives and successors for any and all injuries suffered by me in connection with this event. I accept any and all responsibility and hold harmless all event sponsors, officers, volunteers, and representatives for any injury, accident, or loss of personal or group property resulting from my participation in the 2012 Da Bull-A-Thon Memorial Walk. I also give permission for the free use of my name and picture in any broadcast, telecast, or print media account of this event. In filling out this form, I acknowledge that I have read and fully understand my own liability and do accept the restrictions. Signature Date

Parent/Guardian Signature Date (If participant is under 18 years old)