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Massena Central School
Class of 1981
5K Walk/Run
Proceeds to benefit:
Massena Meals on Wheels
and the
Massena Humane Society
Date: July 2, 2011
Time:
9:00 a.m.
Pre-register by: June 1, 2011
Entry fees:
$15 per person pre-registered
$17 per person on race day
Please make checks payable to:
MCS Class of 81
Entry fee includes free commemorative t-shirt
for the first 50 registrants.
Walk-Run will be comprised of two laps
around the John Story Trail that encompasses
the Massena Central High School.
Registration begins at 8:00 a.m. near
the Central Administration Building
(former bus garage).
The CASP-E-R Massena Central School District Assumption
of Risk and Release of Liability Form MUST BE COMPLETED
in order to participate in the walk/run.
For more information and to register,
call: Lisa (Proulx) Bell at 315-769-5810
or via email: [email protected]
Mail registration form,
waiver and fee to:
Forms are available online at the following link:
http://mcs.k12.ny.us/casper_liability.pdf
Name
Address
Lisa Bell
9 Dover St.
Massena NY 13662
Phone: 316-769-5810
Email:
[email protected]
Phone
T-shirt Size:
Gender
S
M
L
XL
Age on race day
Signature
Date
Signature of parent or guardian if under 18 years of age.
Date