River Rat 5K Run - June 26, 2010
Little Falls, Minnesota
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Entry Form
Name _______________________     Age on Race Day _______  Date of Birth ___________

Address ______________________________

City/State/Zip _________________________ email _____________________

Male ___  Female ___   Shirt size:       XS ____S___ M____ L____ XL____

How did you hear about us?_____entry mailed to me  _____previous participant  ____online calendar  ____MDRA
                                            ____local newspaper   _____website searches    _____ friend or co-worker  ____other

Preregister early to guarantee t-shirt on race day
$15 before June 12
$20 after June 12 and on race day



Online Registration at:   
www.riverrat5krun.zapevent.com

Send Registration Form and Check to: 
River Rat Run, 10904 Harvest Rd., Little Falls, MN  56345

For more information please call:  Jacki 320-632-8993 or Chamber of Commerce 320-632-5155
email:  devine@clearwire.net

Waiver of Liability:  I hereby enter this event at my own risk and waive any claims for damages or injuries that I might incur as a result of my participation in this event against any sponsor, director, employees, or officials. I attest that I am physically fit to complete this event.

Signature of Participant ______________________________  Date _________________

Signature of guardian if under 18 _______________________
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