Salato Wildlife Education Center Nov. 1, 2014

Transcription

Salato Wildlife Education Center Nov. 1, 2014
• Prizes for ag
e group
winners and to
p
overall male a
nd
female finisher
s
• Long sleeve
T-shirt
for all particip
ants
• Children’s act
ivities
Event day registration
begins at 9 a.m., run
starts at 10 a.m.
Cost: $20 if registered
before Oct. 22, $25
afterward.
Proceeds benefit
the Salato Wildlife
Education Center.
Salato Wildlife Education Center
Nov. 1, 2014
Early registration
packets can be
picked up starting
Oct. 31 from 8:00
- 4:30 at the Salato
Wildlife Education
Center, located at
Ky. Dept. of Fish &
Wildlife Resources
headquarters on U.S.
60 in Frankfort.
Register online at www.active.com or call (502) 229-7578
Complete entry form and mail to: KDFWR, attn: Chad
Miles, #1 Sportsman’s Lane, Frankfort, KY 40601.
&
2014 Running Wild Entry Form
(Please Print)
Name: _____________________________________________________________
First
Last
Address: ___________________________________________________________
___________________________________________________________ City
State
Zip
Phone: (______) _________________ E-mail: ______________________________
Age group:
Gender: ____ M
____ F
T-Shirt (Adult) Size: (please check one)
15 & under 16-24 25-36 37-49 50 & over
Date of registration: ______________________ Payment enclosed: $___________
(Please make checks payable to the Kentucky Fish & Wildlife Foundation)
Parent/guardian signature: ____________________________________________
(Required if runner is under 16)
_____ Small _____ Medium
_____ Large _____ X-Large
_____ XX-Large