Printable Application
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Name__________________________________ Address_______________________________ ______________________________________ Phone_________________________________ E-Mail_________________________________ Age__________________________________ Running/Walking_________________________ Pre -Race Registration fee $20.00 if paid before Sept. 24th After Sept 24th or on race day $25.00 Students $15.00 Awards for the top 3 Male & Female in the following brackets: 15 and under, 16-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+ Top 3 Overall Male & Female Walkers 1st 200 applicants are guaranteed a Run for the Animals t-shirt. Walkers begin at 9:15am, runners at 9:45am. Race will start at Bella Luna, Fieldstone Plaza, Rte. 94, Washingtonville. Please mail payment to: Blooming Grove Humane Society P.O. Box 226 Washingtonville, NY. 10992 |