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Charlie

Reagan
The 4th Annual

Memorial
5KForm
& 10K Road Race
Registration
Run
February 25, 2017 @

Race Day Registration opens at


(Register online at www.racesonline.com)
7:00 a.m.
$20 to pre-register (before
January 27) $25 after January
27and on race day

8:00am

Name

Address
Checks to:

Milan High School


7060 East Van
Hook, Milan,
State
ZipTN 38358

Milan Band Parents Assoc.


C/O Charlie Reagan Run
P.O. Box 273
Milan, Tennessee 38358

City

Phone

10k
hills,
fairly
flat and
then shares
5k
with rolling
Trophies
forrolling
overall
Male
& Female
winners:
1st, 2nd
, &loop
3rd place
Se
M
F
medals in eachAge
age group.

Race Director: Laurie Beals


E-Mail
731-414-5688 (call or text)

Categories for Male & Female 5k & 10k Runners:

12 and under
45-49
Category
change
Pre-Registered(can
participants
willon race day if desired):

5K

10K

Master (over 40)


13-19
50-54
Grand Master (over 50)
receive a free T-Shirt, others
20-24
55-59
will be given one on first come
25-29
60-64
Medal for all children
basis.
30-34
65-69
12 & under who finish
WAIVER & RELEASE In consideration of my
acceptance
as
a
participant
in
the
Charlie
Reagan
Memorial
35-39
70 and over
the
race!! Run, I hereby
for myself, my heirs, executors and administrators, do waive and release any and all rights and claims for damages I
40-44
CharlieReaganMemorial
may have
against the Milan Special School
District, the Milan Band Parents Association or any group or person
involved
with the Charlie Reagan Memorial Run for any and all claims and liability. I also certify that I am physically
Run
fit and sound to complete/participate in this event. I understand that awards are given at the sole discretion of the
Race Director and that I must be present at the Awards Ceremony in order to claim my award.

Shirt

Date:

YL

XL

XXL

Parent's signature if under 18 yrs of age:

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