Tremont Turkey Festival Foot Race

5K

Saturday, June 13, 2009, 7:30 a.m.

Name    __________________________________________  Age _____  

Sex:   M    F          Family Div:   M   F   Co-ed

Address _____________________________________________________

City    _______________________  State ___  Zip Code ________

Phone   _______________________

T-Shirt Size (circle one)     M     L     XL

I warrant that I am physically fit enough to run this race and have done proper training. In consideration of my entry, I, intending to be legally bound for myself, my heirs, executors and administrators, waive and discharge any rights and claims against the Tremont Turkey Festival Committee, the Town of Tremont, the Race Committee and/or any other individual or groups involved with the running of this event for any or all injuries suffered by me at this event or while traveling to and from the event.

Signed __________________________________________________ Date ____________
       (Participant, or, if under 18, guardian or parent)

Entry Fee: $18 before June 8, 2009, $20 race day ($2 discount for LRC members and IVS members)

Make your check payable to Tremont Turkey Festival Committee and mail it with this completed form to:

Mike Pflederer
14 Herman Ct.
Tremont, IL 61568

Complete info on race