YOU CAN STILL REGISTER AT THE EVENT!
Please come support a local hero Deputy Travis Sikes, a 17 year veteran of the Cape Girardeau County Sheriff's Department, who is battling a rare form of cancer called Mantle Cell Lymphoma.
All proceeds will go to Travis & his family.
Sponsored by
www.crossfit573.com
Saturday March 24, 2012
Cape Girardeau, Mo
Course begins and ends at the Cape Central High School Football Stadium.
Participants may run or walk the course.
Race Day Check-in/Registration begins at 3:30 p.m.
2 Mile Run/Walk begins at 4:30 p.m.
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Registration Form
Cost: $20
Free t-shirt to participants registered prior to March 21st. Late registrations will receive t-shirts based on availability.
Name ______________________________ Gender: Male Female Age:_______
Address _________________________________ City/State/Zip ___________________________________
Email _________________________________ Daytime Phone __________________ T-shirt size _______
Please Circle One: Run Walk
SEND REGISTRATION/ PAYMENT BY March 21st: Make check payable to CrossFit 573 and mail to:
CrossFit 573, PO BOX 184 Jackson, MO 63755
Fees are nonrefundable and nontransferable. Race day registration available but t-shirt not guaranteed.
CONTACT/RACE QUESTIONS : Blake Guilliams 573.204.3770 or email: info@crossfit573.com
Release: I, on behalf of myself and my heirs, agree to hold harmless Cape County Enforcers and CrossFit 573 and all affiliates for my health, safety, injury, disability, or death arising out of or resulting from participation in this event. I give permission for all photos and information to be used for any legitimate purposes.
Signature: _________________________________________ Date: ________________________
Signature of Guardian (of minor participant) _____________________________ Date:________________________
