Animal Run Entry Form.pmd

VOICE NEWS ANIMAL RUN ENTRY FORM
Mail to: 2015 Animal Run, P.O. Box 37, Panama, NE 68419
Include $25.00 entry fee (after 1-31-2015 $28.00) Make Check payable to: 2015 Animal Run
Last Name
First Name
Phone
Street _________________________________________________________________ City, State Zip ______________________________
E-mail Address:
Race Entered: € Shirt Only € 5 Mile € 2 Mile € 2 Mile Fun Walk € Male € Female
T-Shirt Size (All Adult Sizes)
€S
€M
€L
€ XL € XXL
Birthdate
-
-
In considerations of your acceptance of my entry, I hereby for myself, my heirs and executors, waive any and all rights and claims for damages against
the VOICE NEWS, race sponsors, Lancaster County, the City of Hickman and meet officials for any injuries suffered by me in connection with this event.
I further certify that I am in good enough physical condition to participate in this event. In the event of extreme weather conditions, race director reserves
the right to shorten the race for the safety of the entrants.
Date
Signature
Signature of Parent or Guardian (if under 19)
2015 Animal Run
P.O. Box 37
Panama, NE 68419
5 Mile Run, 2 Mile Run, 2 Mile Fun Walk
Saturday, February 7, 2015
Downtown Hickman, NE
10:00 A.M.
A benefit for the
Norris Titan Facility Fund
ENTRY INFORMATION
Entr y fee is $25.00 if received by Saturday, Januar y 31, 2015. Late registration
fee is $28.00.
Mail entr y forms to:
2015 Animal Run
P.O. Box 37, Panama, NE 68419
Entr y fee must accompany signed entr y
form and is not refundable. Make checks
payable to: 2014 Animal Run
Each pre-registered entry will receive a
world famous souvenir Animal Run TShir t at the Legion Hall the morning of
the race. T-shir t pick up arrangements
will be made for all late registrations.
PRIZES: The top three places in the 5
Mile and 2 Mile Runs in the men's and
women's divisions will receive cash prizes
of $25 (1st) - $20 (2nd) - $15 (3rd).
Drawings for additional prizes donated
by local businesses will be held after the
race in the Legion Hall.
Race packets may be picked up at 9:00
a.m. on Saturday, Februar y 7, 2015, at
the Hickman Legion Post #105, next door
to the VOICE NEWS in downtown Hickman.
Additional tax deductible donations may be
made to: Norris Titans Facility Fund.
32nd Annual
2015 VOICE NEWS
Animal Run
5 Mile Run, 2 Mile Run, 2 Mile Fun Walk
Saturday, February 7, 2015, 10 a.m.
Downtown Hickman, NE
AWARDS CEREMONY &
DRAWINGS FOR ADDITIONAL
PRIZES AFTER THE RACE!
REFRESHMENTS SERVED.
VOICE NEWS
2015 Animal Run Sponsors
B RAD SCREEN PRINTING AND EMBROIDERY
BUCKLEY & SITZMAN CPA,
BUTHERUS, MASER & LOVE FUNERAL HOME
CADA LAW OFFICE,
CAPITAL HUMANE SOCEITY
THE CANINE SCRUB,
CLIMATECH HEATING & COOLING
COMPLETE CHIROPRACTIC & WELLNESS
FAMILY 1ST DENTAL
FIRST STATE BANK NEBRASKA,
HICKMAN BAR & GRILL
HICKMAN AREA COMMUNITY FOUNDATION FUND,
HICKMAN AREA ECONOMIC DEVELOPMENT,
HICKMAN BAR & GRILL,
HICKMAN AMERICAN LEGION
HICKMAN PHYSICAL THERAPY,
LINCOLN RUNNING COMPANY,
MATTSON, RICKETTS, DAVIES, STEWART & CALKINS LAW
PEPSI-COLA,
SUBWAY -HICKMAN
TITAN U-STOP
NEWS OF SOUTHEAST NEBRASKA
& THE VOICE
A benefit for the
Norris Titan Facility fund