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Kiwanis Oktoberfest
Scarecrow Scamper 5K & 10K Registration

Saturday, October 11, 2014
8:30 AM Peace Park, SR 35 East

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Participant Registration
 
First Name: _________________  Last Name: _________________________________
 
Address: _____________________________________________________________________
 
City: __________________________________  State: __________  Zip:  ___________
 
E-mail ___________________________________  Gender: M  or  F     Race: 5K  or  10K
 
Age on Race Day: ______   Circle T-shirt size: YL,  S,  M,  L,  XL,   XXL      Colors may vary
 
*Pre-Registration with Free T-shirt: $20                   *Same day Registration: $25
 
*Over-All Winner & Male/Female Age Groups 1st, 2nd, 3rd Place Awards
 
*Pre-Race Check -in beginning at 7:30 AM
 
Questions?  Contact Robin Judd, CBI Coordinator: 937-838-4693, rjudd@tvs.k12.oh.us
 
Electronic Registration:  www.alliancerunning.com
 
Main-in Registration with check payment to:  TVS CBI
 
Mrs. Robin Judd
Twin Valley South HS
100 Education Drive
West Alexandria, OH  45381
 
All proceeds benefit the students enrolled in the
Career Based Intgernention Program at Twin Valley South High School.