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2017 Trek Race Application 1
2017 Trek Race Application 1
Application!
August 5th, 2017 at the MRC
in Santa Fe, New Mexico
Oneformperentrantplease
Name:______________________________________________________
Address:____________________________________________________
E-mail:____________________________________________
PhoneNumber:__________________Age:______Gender(circleone): M F
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