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Kiwanis Oktoberfest
Scarecrow Scamper 5K & 10K Registration

Saturday, October 14, 2017
8:30 AM Peace Park, SR 35 East


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  839-4693, 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.