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Saturday, October 14, 2000 -- Chesapeake, OH
Chesapeake Area Citizens Coalition 5K Race

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Entry fee: Pre-registration is $10 before October 7, 2000. Registration after October 7th and on the day of the race will be $15. Day-of-race registration begins at 7:00 a.m. and closes at 8:15 a.m. For more information, contact Race Director Jean Fry (740) 867-3870.

Make checks payable to: CACC

Mail entry and check or money order to:
Octoberfest 5K Race
c/o Jean E. Fry
70 PR. DR. 13439 ST. RT. 243
Chesapeake OH 45619


Name______________________________________________

Address___________________________________________

       ___________________________________________

Phone____________________  T-shirt size:  M  L  XL

Age on day of race______      SEX:  M  F

Please read and sign: In consideration of the acceptance of this entry, I hereby for myself, my heirs, executors and administrators, waive any and all rights and claims for damages I may have against the City of Chesapeake, CACC, and all other sponsors associated with the conduct of this race. I attest that I am physically fit and trained for completion of this race. I assume all risks associated with running this event including, but not limited to, fall, contact with other participants, the effects of weather, traffic and conditions of the road, and such risks being known and appreciated by me.

Signature:__________________________________ Date__________
(parent or guardian's signature if under 18 year's of age)