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XX Annual 5K-10k FOG RUN

The Victim/Witness Auxiliary Board and the Kern County Probation Department. XX Annual 5K-10k FOG RUN. XX Annual 5K-10k FOG RUN. Commitment to a Safe Community. Proceeds to Benefit Victims Of Crime in Kern County. January 10 TH , 2009 Lake Ming 9:00am. Life-Run For It.

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XX Annual 5K-10k FOG RUN

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  1. The Victim/Witness Auxiliary Board and the Kern County Probation Department XX Annual 5K-10k FOG RUN XX Annual 5K-10k FOG RUN Commitment to a Safe Community Proceeds to Benefit Victims Of Crime in Kern County January 10TH, 2009 Lake Ming 9:00am Life-Run For It •Long sleeve wicking running shirt, guaranteed to all pre-registered entries! • Custom race medals up to 3rd place in all age groups! • Huge Raffle and Free Massages! • Hot Pancake and Sausage Breakfast • Pete Wonderly With Great Music and Announcing! RACE DAY REGISTRATION TIME IS 7:00 AM to 8:30AM. Race Starts – 9:00 AM PRE-REGISTRATION $22.00 (adult), 17yrs. and under $17.00before Dec. 3rd, 2008 Special Family Pre-Registration Discount: $15.00per child with each paying adult RACE DAY REGISTRATION $25.00 (adult), $20.00 (17-under) Contact Mic Hall for School Team Rates and Course info Contact –Lupe Perez at 661-868-4507 or Mic Hall at 661-324-0311 Please make all checks payable to: V.W.A. P.O. Box 3309 – Bakersfield, Calif. 93385 ­­­­­­­­­­------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ _________________________________________________________________________________________________________________ LAST NAME FIRST NAME TELEPHONE _________________________________________________________________________________________________________________ STREET ADDRESS CITY ZIP T-SHIRT SIZE: SM____________ MED_____________LG_____________X LG_____________XXL____________ CHECK ONE: 5K RUN_____________10K RUN____________ MALE________ FEMALE_______ AGE GROUP: 12 & UNDER________13 – 15_______16 -19________ 20 -29 ________30 -39 _________ 40 – 49 ________ 50 – 59 _________ 60 – 69 _________ 70 & OVER __________ WAIVER: I the undersigned , for myself, my agents, heirs, executors, personal administrators, and representatives, do hereby release and waive any and all claims for damage caused by a act or omission of Releases, but not limited to, Kern County Probation Department, Victim-Witness auxiliary of Kern County, and their sponsors, advertisers, advisors, principles, agents, representatives, and all individuals associated with the event. I agree to hold them harmless and indemnify them. I am fully aware of the risks an dangers, and hazards, including death, and do voluntarily agree to assume all risks connected with this event, that might be sustained by me, including, but not limited to personal injury, death, property / damage. I am in good health and I am capable of participating in this event. Participant Signature ________________________________________________________________________ Parent / Guardian Signature (17 & under) __________________________________________________________ Date ___________________________ E-mail______________________________________

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