Hedrick Fox Trot Road Race

Hedrick Fox Trot Road Race

HELP CELEBRATE HEDRICK BAR-B-QUE DAYS

DATE: Saturday, June 26, 2010
TIME: 8:00 AM
PLACE: Main Street, Hedrick, IA

RACES: 5K Run, 5K Walk, 1 Mile Run and 1 Mile Walk
ENTRY FEE: $12.00 BEFORE June 21
$15.00 AFTER June 22
Send payments to RE/MAX at the Depot, P.O. Box 80, Hedrick, IA 52563
Or
Harlan & Joyce Millikin, P.O. Box 343, Hedrick, IA 52563

Make checks to "Hedrick B-B-Q Days"

T-SHIRTS: For all who enter!
AWARDS: Medals to the top three in each age class up through ages 16-19.
Trophy awarded to top male and female in the 5K Run and 1 Mile Run.
AGE CLASS: 10 Under, 11-14, 15-19, 20-29, 30-39, 40-49, 50-59, & 60 Over
QUESTIONS CALL: 641-653-2258/641-653-2293

In consideration of your acceptance of this entry, I hereby for myself, my heirs &
executors waive any and all rights and claims for damages I may have against individuals
associated with the event, sponsors, and officials, for any and all injuries suffered by me
during, because of, or in travel to and from said event, I attest and verify that I have full
knowledge of the risk involved in this event and I am physically fit and sufficiently trained
to participate in this event.

Name:
Email Address:
Home Address:
Phone:
Sex:	Male Female
Age:
Pick One:	5K Run 5K Walk 1 Mile Run 1 Mile Walk
T-Shirt Size:	Mens S Mens M Mens L Mens XL Mens XXL Youth 6-8 Youth 10-12 Youth 14-16