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3rd ANNUAL McCRACKEN COUNTY FAIR

5K WALK/RUN & KIDS FUN RUN

SATURDAY JUNE 10TH AT

NOBLE PARK SHELTER 19

***PRINT THIS PAGE TO MAIL IN***

Race day registration 7 am to 7:30 am

Packet pick up 7 am to 7:45 am

5K race starts at 8 am with the Kids Fun Run starting at 8:45

All pre registered participants will receive a free t shirt.

There will be a limited number of shirts and sizes for those registering the day of the race. Those shirts will be available on a first come basis

Waiver, Release, and Indemnification

Must be signed

In consideration of the acceptance of this entry in the McCracken County Fair 5K walk/Run…. I , for myself, and on behalf of my heirs and assigns, do hereby release McCracken County Fair organizers, including all members and officers of the South Paducah Kiwanis Club, and any and all sponsors and organizations assisting with this event, from any and all claims for damage and/or injury incurred by me as a result of my participation in this event and I will assume responsibility for any and all such claims or injuries. Further I hereby agree to indemnify and hold harmless South Paducah Kiwanis, including its members and officers and any and all other sponsors and organizations assisting with this event, from and against any and all claims or damages that might be made as a result of any damage, injuries or claims that might arise out of my participation in this event.

________________________________________signature ( parent/guardian if under 18)

McCracken County Fair 5K Walk/RUN REGISTRATION FORM

5K–$20.00 KIDS FUN RUN (NO SHIRT) $10.00

RECEIVED ON OR BEFORE JUNE 5th  WITH COMPLETED ENTRY FORM

Registration the day of the race…5K $25.00 Kids Fun Run…$10.00

Name______________________________________________ DOB________________

Address_________________________________________________________________

Phone/Email_____________________________________________________________

5K shirt size YS YM YL AS AM AL AXL AXXL

Make checks payable to McCracken CountyFair Mail form and fee to:

Denice Cicardo 2529 US Hwy 62E Eddyville, Ky 42038