About Clarksville Skilled Nursing & Rehab Center
Clarksville Skilled Nursing and Rehab/ Westside Assisted Living Suites Turkey Run/Walk 5K
CLARKSVILLE TURKEY RUN/WALK 5K
THANKSGIVING MORNING 8:30 AM
- $20 Pre-Registration thru 11/10/16
- $25 Registration beginning 11/11/16 (Shirt not guaranteed)
- Sponsored by We Care: The Do Gooders Club. Proceeds will benefit the local Food Bank.
- Race starts & ends at Westside Assisted Living Suites
- T-Shirts to all pre-registered racers!
- Door prizes and refreshments following the run!
- Walkers are welcome!
- Packet pick-up: 2-4 PM on 11/23/16 or 7:30-8:15 AM on 11/24/16 at Westside Assisted Living
Return form & Entry fee to:
Westside Assisted Living Suites Name:_________________
110 N. Ely Address:_______________
Clarksville, IA 50619 T-Shirt Size: S M L XL XXL
WAIVER RELEASE
I hereby certify the following: I am physically fit and have received medical clearance to participate in the Turkey Run/Walk 5K. If I do participate, I, on behalf of myself, my heirs, and assigns, and my estate, hereby waive and forever discharge the sponsors, organizers, affiliates, as well as their agents and employees, from any and all claims that may occur as a result of my participation.
SIGNATURE ______________________________ (Parent/guardian, if under 18)