5 K for Cancer

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5 K for Cancer

Event Timing: Sunday, August 1st 4:00 p.m.
Event Address: Edgar Rec Park across the street from the Methodist Church, Exeter, NE 68351
Contact: Mary Lou Vossler (402) 266-1180 or emfcclachapter@gmail.com

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Name: *

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Mailed to: Mary Lou Vossler 2218 Road J, Exeter, NE 68351

Personally given to Mary Lou Vossler, Daisy Kanode, Emma Olsen, Cameran Jansky, Kierra Papik

Payment at event registration

Required

Liability Wavier- In consideration of your acceptance of my entry, I hereby for myself, my heirs and executors, waive and release any and all rights and claims for damages against the Community of Exeter or Exeter-Milligan FCCLA Chapter (Which includes the 5K) all sponsors, meet officials, volunteers, and workers for any injuries suffered by me in connection with this event. I specify that I am in good enough physical condition to participate in this event. Please sign and date below. If under 18 parent or guardian signature is required. *

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