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5thAnnualTrekforTassels5KRace

Application!
August 5th, 2017 at the MRC
in Santa Fe, New Mexico
Oneformperentrantplease

Name:______________________________________________________

Address:____________________________________________________

E-mail:____________________________________________

PhoneNumber:__________________Age:______Gender(circleone): M F

Shirtsize(circleone): x-smallSmall Medium Large X-Large

Howdidyouhearaboutthisrace?________________________________________________

Signature:____________________________________________________

Ifunder18,parentorguardianmustsign:______________________

InconsiderationofmyparticipationintheTrekforTassels5KRun,I,
______________________________,herebyreleasetheorganizersofthisraceanditsagentsfrom
anyclaims,demands,andcausesofinjuryasaresultofmyvoluntaryparticipation.

Agegroups:0-19,20-29,30-39,40-49,50-59,60andover

Starttimeis8a.m.Thecourseisatrailrunofmixedflatandrollinghills

Theregistrationfeeis$10beforeAugust5th,and$15onAugust5th.Allproceedsforthe5K
racewillgotowardsascholarshiptobegiventoagraduatinghighschoolsenior,fromthe
SantaFearea,whoplansonpursuingacareerintheHealthcareField.T-shirtswillbe
distributedonafirstcomefirstservebasis.

FormoreinformationcontactVeronicaHutchisonat505-660-9082

PLEASEMAILAPPLICATIONSTO:40westlakeDr.NE,ABQ,NM,87112

Awesome Raffle!! Medals to Top 3 Male and Female Finishers in Each Age Group

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