HAMMOND - The second annual Hammond Presbyterian Church Community Fall Festival 5K Walk/Run will be held on Saturday, Oct. 6 beginning at 9 a.m. The entry fee for the event is $10 (no refunds) and the first 50 entries are guaranteed a t-shirt.

All runners and walkers will leave the Hammond Presbyterian Church, go down the Oak Point Road, turn around and loop back to the church. A water station will be provided at the turn.

All checks should be made payable to the Hammond Presbyterian Church Fall Festival and further information and pre-registration may be obtained by calling Lisa Gallahger at 324-5720.

All proceeds will benefit the Aids Community Resource.

5K WALK/RUN REGISTRATION FORM

Name:____________________________ Male___Female_____

Address:_____________________________________________

City: ______________________State:___ Zip: _____________

Age on 10/1/2012: _____ Please Circle: Run Walk

Adult T-shirt Size: Small Medium Large X-Large XX

Large Child T-shirt: Small Medium Large

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Waiver: In consideration of my accepting this entry form, I hereby for myself, my heirs, executors and administrators waive and release all rights and claims for damages I may have against Hammond Presbyterian Church, Lisa Gallagher, and all other sponsors of this event, their agents, representative, successors and assigns for any and all injuries suffered by me at said run, or which may arise outof traveling to, participating in or returning from this event. By signing below, I acknowledge that I am aware of and understand the inherent risks involved in this activity and take full responsibility for those risks.

Signature: ______________________________ Date: ________

Parents (if under 18) __________________________________

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