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ACHS CHEERLEADERS 5K FUNDRAISER OCT. 20
 
A Family Fun Pumpkin Run 5K will be held on Saturday, Oct. 20, 2018 at Adair Co. High School. The race is sponsored by the ACHS Cheerleaders. Awards for 1st, 2nd & 3rd places.
 
Entry Cost Information: 
By10/15/18 - $25 pre-registration including a sports bottle guaranteed
Day of Race -  $30 day of race with no sports bottle guarantee
 
Make Checks to:  ACHS Cheer Boosters and mail to 395 E Corbin Road, Columbia, KY 42728
 
For questions, call or text: 270-634-0683
 
 
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FAMILY FUN PUMPKIN RUN 5K ENTRY FORM  (PLEASE PRINT LEGIBLY)
 
Name_________________________________________________________
Address ______________________________________________________
City, State, Zip _________________________________________________
Phone ________________________ E-mail __________________________
 
 
Waiver (MUST BE SIGNED)
 
In consideration of accepting this entry, I, the below signed, intending to be legally bound, for myself, my heirs, my executors and administrations, waive and release and any all rights and claims for damages I may have against the race, and sponsors and their representatives, successors and assigns for any and all injuries suffered by me in said event.  I attest that I will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event.  Furthermore, I hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I may appear for any legitimate purpose, including advertising and promotion.
  
 
Signature ___________________________   Date ________________
 
Parent or Guardian if under 18 _______________________________
 
No refunds will be issued for any reason!!
 
(if applicable)  Name of cheerleader who signed me up ___________________