Swine Time 5K Run Registration

Date		Nov. 26, 2005
Time		8:30 am
Registration	8:00-8:25am day of the race
Location	Swine Time Grounds, Train Depot, Climax GA
Fees		$15  ($12 if registered by Nov 23)

Awards		1st place overall male and female - $50 Cash Prize
		Age Group awards 2 deep in each of our groups
		No duplication of awards
		T-Shirts will be given to all runners

Age Groups - Male and Female

14 and under	15-23		24-32		33-40
41-49		50-59		60 and over

We Promote a litter free environment.

Send completed pre-registration with check or money order
(made payable to Climax Community Club) to: 
Paul Fryer,  Attn: 5K Run, 
440 East Broughton St, Bainbridge, GA  39817

All fees are non-refundable and non-transferable.   
For more information, contact 
Paul Fryer at 229-246-8560 or Mona Fryer 229-248-0383.

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Swine Time 5K Run Registration

PLEASE PRINT.

NAME _______________________________________________

AGE ____ SEX ____ PHONE ____________________________ 

ADDRESS ____________________________________________

CITY _______________________ ST _______ ZIP ________

Circle T-Shirt Size	M	L	XL	XXL
 

In consideration of acceptance of this entry, I waive any and all
claims against Climax Community Club Inc., race officials and/or
sponsors of the Swine Time 5K Run for any injury or illness which
may directly or indirectly result from my participation.  I further
state that I am in proper physical condition to participate in this event.

Signed _____________________________________ Date ______________________

If participant is under 18
Parent/Guardian Signature Required _____________________________________