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MMBA Presents
5th Annual

Firefighters' Frozen 5K
&
1 Mile Fun Run

 

  

WWW.MMBA40.COM
Saturday, December 8, 2007
Hosted by the
McKinley Heights Mutual Benefit Association

 

Online Registration Closed

    

Registration 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.

               
Please notify garysmith@runwalkjog.com if you experience problems with online registration.  For online registration a processing fee of $1.50 will be added to the registration fee for each participant.
                         
Firefighters Frozen 5K
  
                    Last Name:


                    First Name:


                                Age:


                                  Sex:


                         Address:


                                City:


                              State:


                                  Zip:


                             Phone:


               Adult Shirt Size:


                               Event:

Waiver:  In consideration of the acceptance of this entry, I waver 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.


        Agree With Waiver:


                        Signature: (parents’ signature if under 18)


  Firefighter Department:



Online Registration Closed

   

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