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Clarkesville Kiwanis Club's
Second Annual Mountain Laurel 5K and 1-mile Fun Run
May 20, 2006

Time: 1 mile: 6:30 p.m.; 5K: 7:00 p.am.

Campus of North Georgia Technical College; three miles north of Clarkesville on Ga. Hwy. 197
The course is moderately flat with small, rolling hills around the campus

Fees: Entry fee $17 if preregistered b7 May 13, 2006
$20 late registration;
$15.00 Fun Run
T-shirts guaranteed to preregistered only. T-shirts will be given out on race day as supplies last.

Awards: Overall, Masters male/female, and top three finishers in age groups 10 and under to 75 and over;

Information: Contact Nancy Woods: 706-754-4113 drnancy@hemc.net or Will Chamberlin: 706-769-6593 gwillc@bellsouth.net

Make checks payable to Clarkesville Kiwanis Club

Please print or type and mail to Nancy Woods, P.O. Box 848, Clarkesville GA 30523

Name:_____________________________________________ Sex: (circle) M F

Address: ___________________________________________ Age: ________

City: ______________________________________ State: _____ Zip: _______

Phone: ____________________________________ e-mail: _______________

Event: 5K _______ Fun Run ____________ T-shirt size (circle) S M L XL


Waiver: In consideration of acceptance of this entry, I waive any and all claims for myself and my heirs against race officials, sponsors, North Georgia Technical College, and volunteers associated with this event from liability. I am in proper physical condition to participate and give permission for the use of my name and photograph to any media or account of this event. (If under 18, parent or guardian must sign.)

Signed: ______________________________________________________________ Date ____________

Participant or Parent/Guardian (if a minor) ____________________________________________________

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