Benefiting

Sponsored By

AUGUST 3, 2019 • 7 AMLOUDY SIMPSON PARK

• Registration: $20 for adults (18 and Older)Kids 18 and under FREE

• 1 Mile Fun Run Starts Approx. 7:45 AM• Prizes for Top Finishers in 5K Age Categories

all proceeds benefit

*age groups may be adjusted to reflect demographs of running field

Mail Entry Form and Make Checks Payable to: Friends of Moffat County Education (FMCE) P.O. Box 985 Craig, CO 81626 Or Drop-Off at: Eastside Liquor 539 E. Victory Way Craig, CO 81625 Registration Form

FirstName LastName Company Age Sex EmailAddress Address City State Zip Phone AdultT-ShirtSize(circleone):SMLXLChildrenT-ShirtSize–ifregistrationisforchild(circleone):SMLIcan’trace,butIwouldliketomakeadonationof$________toFriendsofMoffatCountyEducationWaiver:Iknowthatrunningaraceisapotentiallyhazardousactivity.IshouldnotenterunlessIammedicallyableandproperlytrained.Iassumeallrisksassociatedwithrunningthisevent.Havingreadthiswavierandknowingthesefactsandinconsiderationofyouracceptingmyentryfee,I,formyself,andanyoneentitledtoactonmybehalf,waiveandreleasetheMoffatCountyBalloonFestival,FriendsofMoffatCountyEducation,andMemorialRegionalHealth,andallsponsors,theirrepresentativesandsuccessors,forallclaimsorliabilitiesofanykindarisingoutmyparticipationinthisevent.__________________________________ _________________Signature(Parent’sSignatureIfUnder18) Date