Mid-East Cross Country
5K Open Challenge
LIMIT
200 RUNNERS
Directions
I-675 to
Check-in
and Packet Pick-up
Awards
Overall top 5
Male and Female. Top 3 Youth Male and
Female (14 and under). Top 3 Master Male and Female (Age 40
and over). Top
3 Grand Master Male and Female (Age 50 and over).
Fees
(Non-refundable)
$15 includes top
quality Mid-East Challenge shirt if registered by
$20 after
November 10th and on race day (Shirt are not guaranteed)
Checks
payable to "Key Sports"
Mail
to: Key Sports, c/o Mid-East Challenge,
Special
Notes
·
Event is run in conjunction with the Mid-East Cross Country
Championships: Girls at
·
Awards will be presented immediately following the race at
the shelter
·
All proceeds go to the Mid-East Cross Country Championships
Fund
Information: Call Key Sports
at (937) 435-2633, or e-mail to: keysports@woh.rr.com
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FIRST
NAME LAST
NAME
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ADDRESS
NUMBER and STREET
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CITY STATE ZIP
CODE
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Area
Code EVENING PHONE NUMBER Age (race day) CIRCLE One CIRCLE
ONE
E-Mail Address:
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In consideration of the acceptance of my entry, I hereby
waive on behalf of my heirs, executors, and assigns, all claims arising from my
participation in the Mid-East Cross Country Challenge, and do hereby release
the City of Kettering, Kettering Parks and Recreation, Greater Dayton Track and
Cross Country Officials Association, Key Sports and Business Promotions, Inc,
their representatives, employees, officials, volunteers, successors, and
assigns for any and all injuries and damage to me or my property in said event;
and agree to hold above listed harmless from any claims. I attest and verify that I am physically fit
and understand the risks for such run/walk and have trained adequately in
preparation.
____________________________________________________________ ________________________
Signature (parent
or guardian if under 18) Date