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    Decatur Running Club
    Two people will make up a team and it can be male / male, female / female, or mixed. Awards will be given to the top two teams in each relay division. Runners may also sign up at the Fall Park Runs on Oct. 4th and Oct. 11th.

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    EntryForm Twosome 1

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    Decatur Running Club
    200 views3 pages
    Two people will make up a team and it can be male / male, female / female, or mixed. Awards will be given to the top two teams in each relay division. Runners may also sign up at the Fall Park Runs on Oct. 4th and Oct. 11th.

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    Two people will make up a team and it can be male / male, female / female, or mixed. Awards will be given to the top two teams in each relay division. Runners may also sign up at the Fall Park Runs on Oct. 4th and Oct. 11th.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    200 views3 pages

    EntryForm Twosome 1

    Uploaded by

    Decatur Running Club
    Two people will make up a team and it can be male / male, female / female, or mixed. Awards will be given to the top two teams in each relay division. Runners may also sign up at the Fall Park Runs on Oct. 4th and Oct. 11th.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Staley Strider X-Country Twosome

    Relay Event
    Sunday October 18th 3:45pm
    All Ages – Fairview Park
    Registration starts at 3:00pm at the large pavilion.
    Runners may also sign up at the Fall Park Runs on
    Oct. 4th and Oct. 11th.

    • Tot Trot Cross Country ½ Mile @ 3:45pm $1.00


    • Two People Cross Country Relay Event @ 4:00pm
    $5.00

    Two people will make up a team and it can be


    male/male, female/female, or mixed. See below:

    Course: One mile cross country loop in Fairview Park.


    The two people will alternate miles. Each person will
    run two miles for a team total of four miles. The first
    runner will run miles 1 and 3. The second runner will
    run miles 2 and 4 for a combined time.

    Awards will be given to the top two teams in each


    relay division.

    Divisions:

    Youth (15 & under) Adult (16 & up) Parent/Child


    Husband/Wife
    If a child enters with an adult who is not their parent they
    will be in the adult division.
    Contact Mike Landacre 217-875-3429 for more information.
    Note: 2009 Fall Park Runs Oct. 4thand 11th. Registration begins at
    3:20pm with ½ mile Tot Trot at 3:45pm. Then the 1, 3, and 6 mile races
    will start at 4:00pm.

    (Pleas read through this entry form before completing)

    Waiver and Release of all claims (waiver must be signed by parent or runner)

    In consideration for participation in this event, I agree to assume the full risk of any and
    all injuries, damages, or loss which I or my minor child might sustain as a result of
    participating in this event, including pre and post race activities. I hereby agree to waive
    and relinquish any and all claims I or my minor may have as a result of participation in
    this event against Decatur Park District and the volunteers involved in the event. I
    further fully release and discharge any and all claims from injuries, damage, or loss
    which I or my minor child may experience due to participation in this event, including pre
    and post race activities. I further attest and certify that my minor child or I are physically
    fit and have sufficiently trained for participation in this event.

    #1______________________________________________ _____________

    #2______________________________________________ _____________
    Runner’s Signature (Parent's Signature if under 18)
    (Date)

    Please Print the Following Information

    Name#1_________________________________________________________

    Name#2_________________________________________________________

    Address______________________________________________

    City__________________________ State______ Zip________________

    Email address__________________________________________

    Age#1_______ Age#2_____ Team Name ___________________________

    Circle One

    Youth (15 & under) F/F Youth M/M Youth Mix

    Adult (16 & up) F/F Adult M/M Adult Mix


    Parent/Child Husband/Wife

    Form can be mailed to Mike Landacre 489 Buckingham Dr, Decatur, IL 62526
    Attn: Twosome Race Registration

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