Warrior Run Registration

Location: GreatLife Golf and Fitness (formerly the Lebanon Country Club) TIme: 9:00am for registr ation • 11:00 am is Start Time Sunday March 18, 2012 Weather: Only lightning, thunder, HEAVY downpour or BLIZZARD will cancel event. WILL run in case of light snow Make Up Date: If cancelled due to weather make up dat e will be announced. Register: Pre-regist er by FEB 27, or on r ace day beginning at 9:00am Fees: PRE - REGISTER by Feb. 27th and fee will be $29 / Day of event $39. T-Shirt S M L XL XXL 2012 5K Entry Form Male Female Name: Address: City: State: Zip: Phone: Email: WAIVER: I should not enter and run unless I am medically able and properly trained. I also assume any and all other risks associated with running this event including, but not limited to falls, contact with other participants, the affects of the weather, all such risks being known and appreciated by me. I also am fully aware that animals are strictly prohibited and I agree not to have them on the course. Furthermore, I agree not to go back onto the course after finishing. Knowing these facts, and in consideration of your accepting my entry, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive and release and discharge, GreatLife Golf & Fitness, 2012 Warrior Run, Wounded Warrior Charity, and all race sponsors, race officials, volunteers, local and state police including and all of their agents, employees, assigns or anyone acting for or on their behalf from any and all claims or liability for death personal injury or property damage of any kind or nature whatsoever arising out of, or in the course of, my participating in this event. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to sponsors and or agents authorized by them to use any photographs, video tapes, motion pictures, recordings or any other record of this event for any purpose. Applications for minors accepted only with a parent or guardian signature. Signature: Parent/Guardian Signature: (Required for participants 18 years and under) Date: Contact information / completed entry forms: Tommy Barker c/o Kickin It Martial Arts • 1126 Tyler Drive • Lebanon, MO 65536 Phone: 417-718-0250 • Email: [email protected] Please make check payable to : KICKINIT MARTIAL ARTS PROCEEDS GO TO U.S. WOUNDED SOLDIER FOUNDATION 2012 1st Annual 5K 5K 2012 1st Annual 5K 5K Race T-shirts are available for $15.00. Must pre-register to recieve a shirt. A limited number of shirts will be available for purchase on race day! XXL & larger are an additional $3.00 per shirt. Special thanks to: W E W I L L N E V E R F O R G E T U S W O U N D E D S O L D I E R S F O U N D A T I O N Benefitting the U.S. Wounded Soldiers Foundation

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Transcript of Warrior Run Registration

Location: GreatLife Golf and Fitness (formerly the Lebanon Country Club)

TIme: 9:00am for registration • 11:00 am is Start Time Sunday March 18, 2012

Weather: Only lightning, thunder, HEAVY downpour or BLIZZARD will cancel event. WILL run in case of light snow

Make Up Date: If cancelled due to weather make up date will be announced.

Fees: PRE -REGISTER by Feb. 27th and fee will be $29 / Day of event $39.

T-Shirt

S M L XL XXL

2012 5K Entry Form

Male Female

Name:

Address:

City: State: Zip:

Phone:

Email:

WAIVER: I should not enter and run unless I am medically able and properly trained. I also assume any and all other risks associated with running this event including, but not limited to falls, contact with other participants, the a�ects of the weather, all such risks being known and appreciated by me. I also am fully aware that animals are strictly prohibited and I agree not to have them on the course. Furthermore, I agree not to go back onto the course after finishing. Knowing these facts, and in consideration of your accepting my entry, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive and release and discharge, GreatLife Golf & Fitness, 2012 Warrior Run, Wounded Warrior Charity, and all race sponsors, race o�cials, volunteers, local and state police including and all of their agents, employees, assigns or anyone acting for or on their behalf from any and all claims or liability for death personal injury or property damage of any kind or nature whatsoever arising out of, or in the course of, my participating in this event. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to sponsors and or agents authorized by them to use any photographs, video tapes, motion pictures, recordings or any other record of this event for any purpose. Applications for minors accepted only with a parent or guardian signature.

Signature:

Parent/Guardian Signature: (Required for participants 18 years and under)

Date:

Contact information / completed entry forms:Tommy Barker c/o Kickin It Martial Arts • 1126 Tyler Drive • Lebanon, MO 65536Phone: 417-718-0250 • Email: [email protected] make check payable to : KICKINIT MARTIAL ARTS PROCEEDS GO TO U.S. WOUNDED SOLDIER FOUNDATION

2012 1st Annual

5K5K

2012 1st Annual

5K5K

Race T-shirts are available for $15.00. Must pre-registerto recieve a shirt.

A limited number of shirtswill be available for purchaseon race day!

XXL & larger are anadditional $3.00 per shirt.

Special thanks to:

E WILL NEVER FORGET

US W

OUN

DED SOLDIERS FOUNDATION