Location: Village of Linwood,MI Race Starts from St Anne's Church

Pickle 5K Run/Walk 2017

Race date: Saturday Aug 19,2017 Time: 9am – Late registration 8:30am Location: Village of Linwood,MI Race starts from St Anne's Church Entry Fee:$20.00 with tshirt or $10.00 without tshirt _____sm ______med ______lrge ______xlarge (Day of add additional $5 for late registration) Mail Entry form: Linwood Park Board P.O. Box 386 Linwood MI 48634 Make check payable to: Linwood Park Board II Course: Linwood Rd, north on Kaiser, east on Anderson, south on Elevator, west on Linwood, we will then go inbetween sides streets to end infront of the St Anne's Church on Linwood Rd. Every entry receives a jar of pickles, Medals: Overall male Overall female, Medals for best male & female (6 division age groups: 1-10;11-19;20-29;30-39;40-49;50-99), Best male & female Walk Results: Posted day of race Race Timing: Course is accurately measured. Ted Davenport(Tonic Racing) Information contact: Lora Nadolney (989) 307-8442 or [email protected]

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Last name______First______MI______

Address______City______State______

Birth date_____/______/______Age of race day______Sex M______F______

Phone______5K Run______5K Walk______I know that running or walking a road race is a potentially dangerous activity. I should not enter and run or walk unless I am medically able and properly trained. I agree to abide by any decision of any race official relative to my ability to safely complete this event. I assume all risk associated with this event including, but not limited to falls contact with other participants the effects of the weather traffic and the condition of the roads all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry. I for myself and anyone entitled to act on my behalf waive and release the Village of Linwood/Linwood Park Board and all organizers/sponsors their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event.

Signature (by parent if participent under 18):

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