XX Annual 5K-10k FOG RUN

The Victim/Witness Auxiliary Board and the Kern County Probation Department

January 10TH, 2009Lake Ming 9:00am

Proceeds to Benefit VictimsOf Crime in Kern County

Life-Run For It

• Long sleeve wicking running shirt, guaranteed to all pre-registered entries!• Custom race medals up to 3rd place in all age groups!• Huge Raffle and Free Massages!• Hot Pancake and Sausage Breakfast • Pete Wonderly With Great Music and Announcing!

RACE DAY REGISTRATION TIME IS 7:00 AM to 8:30AM.Race Starts – 9:00 AM PRE-REGISTRATION $22.00 (adult), 17yrs. and under $17.00 before Dec. 3rd, 2008Special Family Pre-Registration Discount: $15.00 per child with each paying adultRACE DAY REGISTRATION $25.00 (adult), $20.00 (17-under)Contact Mic Hall for School Team Rates and Course infoContact –Lupe Perez at 661-868-4507 or Mic Hall at 661-324-0311

Please make all checks payable to: V.W.A. P.O. Box 3309 – Bakersfield, Calif. 93385

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_________________________________________________________________________________________________________________LAST NAME FIRST NAME TELEPHONE_________________________________________________________________________________________________________________STREET ADDRESS CITY ZIP T-SHIRT SIZE: SM____________ MED_____________LG_____________X LG_____________XXL____________

CHECK ONE: 5K RUN_____________10K RUN____________ MALE________ FEMALE_______AGE GROUP:

12 & UNDER________13 – 15_______16 -19________ 20 -29 ________30 -39 _________

40 – 49 ________ 50 – 59 _________ 60 – 69 _________ 70 & OVER __________WAIVER:

I the undersigned , for myself, my agents, heirs, executors, personal administrators, and representatives, do hereby release and waive any and all claims for damage caused by a act or omission of Releases, but not limited to, Kern County Probation Department, Victim-Witness auxiliary of Kern County, and their sponsors, advertisers, advisors, principles, agents, representatives, and all individuals associated with the event. I agree to hold them harmless and indemnify them. I am fully aware of the risks an dangers, and hazards, including death, and do voluntarily agree to assume all risks connected with this event, that might be sustained by me, including, but not limited to personal injury, death, property / damage. I am in good health and I am capable of participating in this event.

Participant Signature ________________________________________________________________________

Parent / Guardian Signature (17 & under) __________________________________________________________

Date ___________________________ E-mail______________________________________