Whitley County YMCA
5K Fun Run/Walk in search of a cure for cancer.

Saturday, May 31, 2008
At Indian Springs Middle School
9:00 a.m. start time.
Pre-race registration starts at 8:oo a.m.

Pre-registration by May 26, is $15.00 (shirts included).
Race day registration begins at 8:00 a.m. and is $20.00 (shirts, while supplies last).
There will be a raffle for all registered participants.
Prizes thus far:
 1 - YMCA membership
2 – certificates for youth program of choice
1 – personal training session
1 – 1 hr. massage from Whitley Chiropractic
Golf passes at Eel River
6 - Paige’s Crossing Miniature Golf Tickets
More prizes, from various vendors to be announced.

YMCA Fun Run application Form

Name:__________________________________ Address__________________________________

City___________________________ State_____________ Zip__________

E-Mail___________________________________Phone:______________

Age________ Date of Birth_____________ Sex______ Shirt Size_____

Checks payable to: Gina Strack 321 N. 150 E. Columbia City, IN 46725
e-mail: Gstrack77@emabraqmail.com. May also register at the YMCA.
All race proceeds will go the American Cancer Society.

Participant Waiver
I hereby grant that the proposed participant is healthy and physically able to participate in this event. I do agree to hold free from any and all liability the YMCA of Greater Fort Wayne and its representative officers, my heirs, executors, and administrators, waive, release, and forever discharge any and all claims for damages which I may have or which I may hereafter accrue to me arising out of or connected with my participation in any of the activities of the YMCA of Greater Fort Wayne.

Participant Signature:____________________________________________________

Date:_________________________________________________________________