The Pink Heals Breast Cancer Awareness 5K Run

REGISTRATION TIME: 7:30AM | 5K RUN/WALK: 8:00AM
SATURDAY OCTOBER 20, 2018
STARKVILLE CITY HALL 110 W. MAIN ST.

Name:*

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Sex:*

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Make checks payable to: Starkville Fire Department

Waiver: In consideration of acceptance of this entry form, I waive any and all claims for myself and my heirs against any officials or sponsors of the Pink Heals 5K Run due to illness or injury which may directly or indirectly result from my participation in this event. I further state that I am in proper physical condition to participate in this event.