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Webster County Community Hospital

6th Annual WCCH Twilight 5K Run/Walk

Friday, July 31st at 7:30 PM

Registration at the PARK beginning at 6:30 PM

Cash prizes for top 3 male and top 3 female runners in 5k

Registration Fee: $15 Before July 15th ($20 after)

Please mail your entry fee to the hospital,

Attn: Stephanie Evert
6th Avenue & Franklin Street
Red Cloud, Nebraska 68970

* Registrations received after July 15, 2015 cannot be guaranteed desired T-Shirt size or T-shirt.
  Phone #
  5K Race
City, State, Zip
  Adult T-Shirt Size Small     Medium     Large     X Large     2 X Large    
  18 and younger: Parentsí Permission is Required.
Please sign parents name.
  Signature Authorization
To all race participants: Parent or Guardian must sign if entrant is under age 19. I hereby waive & release all rights & claims for damages I have against the organizers & sponsors of the WCCH Club Fit 5K Run/Walk to be held Friday, July 31st, 2015, and for any and all injuries suffered by me in this event. I hereby authorize the organizers and support personnel to provide any appropriate medical aid I may require during this event. I agree to the use of my name/picture in publicity and media coverage of this event.