PRESENTED BY THE 15TH STREET FLYERS WHEN: JULY 4, 2007 ***DISTANCE: 4 MILES  COST: $ 4.00 or $ 14.00 on race day WHERE: HUBIE GALLAGHER PARK ***15TH AVENUE – COVINGTON, LA. (3 BLOCKS OFF TYLER)***7:30 AM (KIDS ˝ MILE @ 8:30 AM) THIS YEARS’ RACE WILL BENEFIT THE COVINGTON RECREATION DEPARTMENT, THE JARRELL FUND AND KIDS KONNECTION! SO COME OUT & SHOW YOUR SUPPORT BY WALKING OR RUNNING FOR THE OLD RED, WHITE & BLUE! PRE-REGISTRATION: $ 4.00 PER PERSON (POST MARKED BY 6/25/07) PAYABLE TO: 15TH STREET FLYERS, 49 KAREN DRIVE, COVINGTON, LA. 70433 ***** RACE DAY REGISTRATION: $ 14.00***** (IF YOU ARE UNDER 18 YEARS OF AGE, MAKE SURE THAT A PARENT/GUARDIAN SIGNS THE FORM!) SPECIAL EDITION COMMEMORATIVE GIFT TO THE FIRST 200 PRE-REGISTERED PARTICIPANTS!! RACE DAY REGISTRATION: BEGINS AT 6:30 AM, YES THAT’S 6:30 IN THE MORNING! ****PLEASE NOTE CHANGE IN RACE DAY REGISTRATION FEE: $ 14.00**** ***COSTUMES OF RED, WHITE AND BLUE ARE ENCOURAGED AND WILL BE REWARDED *** **THERE WILL ALSO BE OVERALL AND AGE GROUPS AWARDS AS WELL AS A 4 PERSON FLAG RELAY AWARD (4 PERSON TEAM MUST CARRY AMERICAN FLAG THAT MEASURES AT LEAST 3’ x 5’ FOR THE ENTIRE RACE, ROTATING THE FLAG AS NECESSARY AMONG TEAM MEMBERS)***TEAM MEMBERS NOT ELIGIBLE FOR INDIVIDUAL AWARDS** FOR QUESTIONS OR DIRECTIONS CALL (985) 893-3684 OR (504) 460-2991 OR GO TO WWW.15THSTREETFLYERS.ORG  AND  ----------------------------------------------------------------------------------------------------  PLEASE COMPLETE THE FOLLOWING INFORMATION FOR EACH PARTICIPANT: NAME: _________________________________________________________________ ADDRESS: ___________________________________________________________________________________________ PHONE: __________________ AGE: ______D.O.B.: __________________ SEX: MALE FEMALE WALKER: YES NO WAIVER: I KNOW THAT A ROAD RACE IS A POTENTIALLY HAZARDOUS ACTIVITY THAT COULD CAUSE INJURY OR DEATH. I ATTEST AND VERIFY THAT I AM MEDICALLY ABLE AND PROPERLY TRAINED TO ENTER THIS EVENT. I ASSUME ALL RISKS ASSOCIATED WITH PARTICIPATING IN THIS EVENT INCLUDING, BUT NOT LIMITED TO FALLS, CONTACT WITH OTHER PARTICIPANTS, THE EFFECTS OF WEATHER INCLUDING HIGH TEMPERATURES/HUMIDITY, TRAFFIC AND THE CONDITIONS OF THE ROADS AND BRIDGES. IN CONSIDERATION FOR ACCEPTING THIS ENTRY ALL SUCH RISKS BEING KNOWN AND APPRECIATED BY ME, THE UNDERSIGNED, INTENDING TO BE LEGALLY BOUND, HEREBY, FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS WAIVE ANY AND ALL RIGHTS FOR DAMAGES I MAY HAVE AGAINST THE PARISH OF ST. TAMMANY, THE CITY OF COVINGTON, RIVER FOREST SUBDIVISION, THE 15TH STREET FLYERS OR ANY INDIVIDUALS ASSOCIATED WITH THIS RACE, EVEN THOUGH THAT LIABILITY MAY ARISE OUT OF NEGLIGENCE OR CARELESSNESS. SIGNED: ________________________________________________DATE: _______________ PARENT OR GUARDIAN: ______________________________________________________  (IF UNDER 18 YRS OLD)
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