September 14, 2013 - Covington Police Department

THE COVINGTON POLICE DEPARTMENT’S 30TH ANNUAL
http://www.covingtonpolice.com/fuzz-run.aspx
September 14, 2013
Fun Run 8 a.m.-5K 8:30 a.m.
Friday, September 13, 2013
Pre-Race Package Pick-up and Expo
8:00 a.m. to 6:00 p.m.
Conyers Street Gym
Awards:
Overall winners
Top three places in each age
group
Fun Run:
Awards to top three girls
Cost
Individual Registration:
$18 Pre-registration by September 6th
$20 Expo, Race Day Registration or
Registration after September 6th
and top three boys.
Where:
Family Registration:
$60 for 4 (Pre-Registration ONLY)
Registration and Race Start at the
Conyers Street Gym
1143 Oak Street
Covington, GA 30014
Register by mail (see below) or
Proceeds benefit the Police Who Care fund-a local charity that
provides assistance to local families in need.
Mail Form & Entry Fee to:
The Covington Police Fuzz Run
1143 Oak Street SE
Covington, GA 30014
Please fill out completely/One form per participant
No Pets Please
__________________________________________________________
Name
Waiver: In consideration of acceptance of this entry, I
waive any and all claims for myself and my heirs against
officials and sponsors of the Covington Police Fuzz Run for
injury and 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.
______________________________________
Signature
Date
______________________________________
Parent/Guardian Signature:
__________________________________________________________
Address
City/State/Zip
__________________________________________________________
Phone
email
___________ _____/_______/__________
______________
Gender
Age on Race Day
Birthday
Date
Parent or guardian signature required if entrant is under 18
T-Shirt Size: S M
L
XL
XXL
XXXL ($2 extra)
_____ Long Sleeve Option ($3 extra)(pre-registration only/no exchanges)
Kids’ sizes: S M