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MMBA Presents Firefighters' Frozen 5K |
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WWW.MMBA40.COM To Register By Mail Print Form Below
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Time: 1 mile fun run starts at 9:00 AM 5K run starts at 9:30 AM Registration begins at 7:30 AM
Course & Location: Located at the Fire Station off of Rt. 422 and Tibbetts Wick Rd. Both Races begin and end at the Weathersfield Fire Dept. Mile splits and a water stop at the halfway mark will be available during the 5K run.
Registration fees: Preregistration is $14.00 (if received by November 28th) Runners can register on race day beginning at 7:30 AM for a $16.00 fee. The first 100 registrants receive a long-sleeved t-shirt.
Men Women 13 & under 37-42 13 & under 37-42 14-17 43-48 14 –17 43-48 18-24 49-54 18-24 49-54 25-30 55-59 25-30 55-59 31-36 60-65 31-36 60 + 66 + *Top finishing Firefighter receives a special award ----------------------------------------------------Please Print------------------------------------------------------------ In consideration of the acceptance of this entry, I waiver and release, for myself, my heirs, and my assigns, any and all rights and claims for injury and damage which I might have against the Township of Weathersfield, MMBA, and all sponsors as the result of any and all injuries which I might be received during this contest. I hereby attest and certify that I am physically fit and have sufficiently trained for this run. Name:_________________________________________Age:_________Sex:_________
Address:________________________________________City:_____________State:___
Zip:_________Phone:____________________Adult Shirt Size (circle): S M L XL
Event (circle): 5k or Mile fun run
Signature (parents’ signature if under 18):_____________________________________
(Firefighter) Department:___________________________________________________ Make checks payable to: MMBA Send to: MMBA Firefighters’ Frozen Five; 2229 Gardenland Ave; Niles, Ohio 44446
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