Lace-Up For Leah.pdf - Google Drive

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Lace-Up For Leah 5K Run/Walk Proceeds will go toward a memorial playground at Samuel Lewis State Park in memory of two year old Leah Vogel who passed away on June 26, 2011.

PRIZES Awarded to Men’s & Women’s : Overall 19 & under 20-29 30-39 40-49 50-59 Masters

Date: Sept. 18, 2011 Registration: 7:00am Start Time: 8:30am Preregister By: Sept. 5, 2011

Entry Fees Adults: $15.00 pre-registered $20.00 race-day registration Youth (ages 17 & under): $10.00 pre-registered $15.00 race-day

Chip timing provided by Carlisle Barracks MWR

Race-day registration will be at the main pavilion in Sam Lewis State Park. The course is a challenging 5K run around and through out the park. The race will start and finish by the main parking area.

For more information call Rick or Christine McBride (717) 471-7058

Mail Forms To: 105 North Front St., Suite 305 Harrisburg, PA 17101

Waivers must be signed by all participants the day of the race

Name

Address

Make checks payable to PPFF. Include “Lace Up For Leah” in memo section. Phone: 717-471-7058 E-mail: [email protected] Online Registration at: https://www.z2systems.com/np/ clients/ppff/event.jsp?event=28

Phone

Sex

Age on race day

Signature

Date

Signature of parent or guardian if under 18 years of age.

Date