Save the Animals


Lebanon, VA, Lebanon, VA

5/19/2018


All money raised goes to local animal shelter.
Packet pickup starts at 8 am.
Race day sign up from 8:00 am - 8:45 am
Race begins at 9:00 am Lebanon, VA.
Register before May 12, 2018 for Save the Animals T-shirt. Run or walk with or without your dog. ALL dogs must run with
a leash. If you run with a dog please bring proof of rabies vaccination.

Pre-registration:
(ends 5/12/2018)
$20 if received by 5/12/18 (Please add $5 per dog)
$10 for students
| Regular
| Registration:
$25 if registering after 5/12/18 (Please add $5 per dog)
$15 for students after the date above
Make checks payable to: Crystal Ball
Mail this form to: 155 Granville Meadows Dr
Lebanon, VA 24266
We will have a flatter, less strenuous course this year.
5K run/walk will begin at 9:00 am. Participants may choose to run/walk
with or without a pet. Pet owners are asked to clean up after their
pets. Water will be provided on the course for
Headphones are NOT permitted on the course | Strollers are NOT permitted on the course
For more info contact
Crystal Ball, cball8108@gmail.com, 276-791-7127
Abigail Ball, abigailhball@gmail.com
Save the Animals
Male & Female Awards:

Overall (top 3)
Masters (top 3)

Age Groups (top 3)
...1-12, 13-19, 20-29, 30-39, 40-49, 50-59, 60+
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Male & Female Awards:

Overall (top 3)
Masters (top 3)
GrandMasters (top 3)

Age Groups (top 3)
...19,20-24,25-29,30-34,35-39,40-44,45-49,50-54,55-59,60...

Save the Animals

LAST NAME__________________________________ FIRST NAME_________________________ M.I._______

SEX____ DATE OF BIRTH____/____/____ AGE ON RACEDAY_____ E-MAIL____________________________

ADDRESS___________________________________________________________________________

CITY________________________ STATE_________ ZIP___________ PHONE (_______)_______-___________

RACE DAY EMERGENCY CONTACT (NAME AND PHONE)_________________________________________

*** CIRCLE EVENT: Save the Animals | na

*** CIRCLE SHIRT SIZE: YS, YM, YL, SM, MD, LG, XL, XXL

IN CONSIDERATION FOR ACCEPTING MY ENTRY IN THIS RACE, I FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS, WAIVE AND RELEASE FOREVER ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES I MAY HAVE AGAINST THE ORGANIZERS AND SPONSORS OF THIS EVENT. I ALSO RELEASE THE ABOVE NAMED FOR ALL CLAIMS OF DAMAGE DEMANDS, AND ACTIONS IN ANY MANNER DUE TO ANY PERSONAL INJURIES, PROPERTY DAMAGE, OR DEATH SUSTAINED AS A RESULT OF MY TRAVELING TO AND FROM AND MY PARTICIPATION IN SAID RACE. I ATTEST AND VERIFY THAT I AM PHYSICALLY FIT AND HAVE SUFFICIENTLY TRAINED FOR THE COMPETITION OF THIS EVENT. IN FILLING OUT THIS FORM, I ACKNOWLEDGE I HAVE READ AND FULLY UNDERSTAND MY OWN LIABILITY AND ABILITY. STROLLERS ARE NOT ALLOWED ON THE RACE COURSE. PARTICPANTS USING HEADPHONES ARE NOT ALLOWED ON THE RACE COURSE.

SIGNATURE_____________________________ DATE_____/_____/_____ (Parent signature if under the age of 18)


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