Amanda Gives Back Childhood Cancer Awareness Fun Run/Walk

Amanda Gives Back Childhood Cancer Awareness 5kFun Run/Walk
Date: September 10, 2011

Location: Howard Park (Next to Jefferson Bridge)South Bend,In
About This Event

Registration starts: 8:15 Run/walk starts @ 8:30 Early registration cost: $15.00. Register Early at www.amandagivesback.org Groups of 4 or more $5 discount. Early Registration will close at midnight on September 8, 2011. The day of the run/walk $20.00. Early online registration will start on August 5, 2011
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Early Registration Fee
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Individual Registration Fee$15.00

Registering as part of a group(signing up individually)$15.00

Group of 4 or More registering all together$55.00

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I do hereby release, discharge, and hold harmless Fight Cancer Inc, the city of south Bend and all sponsors and volunteers, from any rights, claims for any and all damages, losses or injuries to persons or property,in connection with this event. I attest and verify that I have full knowledge of the risks involved with this event, and I am able to participate in this event. The undersigned grants full permission to any and all media use, including photographs and videotape for publicity and advertising purposes without compensation.
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Contact Info: For questions

Christine Mitchell

jcma35@msn.com

www.amandagivesback.org

You can also mail this form along with a check(made out to Amanda Gives Back) to

1023 Clover st.

South Bend, In 46615
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Amanda Gives Back Childhood Cancer Awareness 5kFun Run/Walk

Early Registration Fee*

Early Registration Fee