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
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