Wednesday, July 11, 2007 -- Connellsville, PA
25th Annual John Woodruff 5K Run and Walk
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Make checks payable to John Woodruff Club.
Mail to: John Woodruff Club, 706 Blackstone Avenue, Connellsville, PA 15425
(please print) NAME: __________________________________________________ ADDRESS: _______________________________________________ CITY: _____________________ STATE: ____ ZIP: ___________ AGE (on race day): _____ DATE OF BIRTH: _______________ PHONE: ________________________ MALE FEMALE T-SHIRT SIZE: S M L XL RACE SELECTION: 5K RUN WALKIn signing this entry, I hereby release The John Woodruff 5K Race and Walk from any claims or responsibility for any injuries suffered by me in this event.
Signature: ______________________________________________ (if under 18, parent or guardian must sign)Entry not valid unless all information herewithin is filled out and signed.