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Florissant
Fall Festival 5K Run
Hosted by the Florissant Valley Jaycees &
Florissant Councilman Dan Sullivan
Saturday, OCTOBER 13, 2007 * Race Starts at
8:00AM
Location: Weise House (by lake) St. Ferdinand Park, Florissant,
MO. 63031
Racecourse: St.Ferdinand Park, along Sunset Park Trail, back
to St Ferdinand Park
Entry Fees: $15 Early Registration LATE FEE $20 after
October 6th, 2007
(First 200 entrants will receive a Long Sleeve T-Shirt)
Mail to: Florissant Valley Jaycees, PO Box 858,
Florissant, Missouri 63032
Make check payable to: Florissant Valley Jaycees
Race Day Registration: Register at Weise House
at 7:00AM
Awards: Male & Female Top 3 finishers overall. One
Year/6 months/3 month Eagle Fitness membership
Male & Female Age Division Awards for top 3 finishers in
16-19, 20-29, 30-39, 40-49, 50-59, 60 & over
Post Race Activities: At the conclusion of the event, complimentary
snacks, beverages & beer will be served.
For more information Call Jon Vogt @ 839-3244 or Angie Ackermann
@ 313-2204
Florissant Fall Festival 5K Run Registration
Make check payable to: Florissant Valley Jaycees
Mail to: PO Box 858, Florissant, MO.63032
Amount Enclosed: __________
Name: _____________________________________________Phone__________________
(evenings) ______________
Address: ________________________________ City: _______________________
State: ________Zip:_____________
E-mail: ____________________________ Emergency Contact: ____________________
Phone: __________________
Circle Age Bracket: (16 19) (20 29) (30
39) (40 49) (50 59) (60 +) (male) (female)
Waiver and Release: In consideration of this
entry, I assume all risk of injury to myself and damage or loss
of property arising out of my participation and hereby release
and forever discharge the sponsors and promoters of this event,
including the City of Florissant, Florissant Valley Jaycees
and their respective subsidiaries, agents, subcontractors and
volunteers from any claims or damages which may arise from my
participation in the Florissant Fall Festival 5K Run (theEvent).
In consideration and of my own free will, I for myself, my heirs,
executors and administers indemnify and hold harmless all of
the aforementioned sponsors and promoters from liability, claims,
demands, actions, loss and/or damage arising out of my participation
in the Event. I give my full permission to the Florissant Valley
Jaycees, its affiliates and the sponsors and promoters to use
any photographs, videotapes, or other recordings of me that
are made during the Event.
SIGNATURE ___________________________________________________________DATE________________
PARENT SIGNATURE (IF UNDER 18) _______________________________________DATE________________
Printing & Graphics Compliments of: BESSERMANS Computer
Works
This form can not be submitted on line. Please cut and
paste the form, then print and mail to the address above.
Hello
From The Florissant Valley Jaycees
Welcome to the Florissant Valley
Jaycees official web site. Check out our News
page for interesting info about our recent and upcoming events.
Take a look at our Photo Gallery
for lots of fun pictures. Learn about
who the Jaycees are and why you should join us in the About
Us section. Learn about our history on the Chapter
History page. You can also check out our My Space page:
www.myspace.com/florissantvalleyjaycees
Better yet, come to one of our
meetings and see for yourself, no commitments, no obligations,
our doors are always open for people to visit us and see for
themselves what we do for the Florissant and surrounding communities.
We meet the 1st and 3rd Wednesday of the
month at 8:00pm:
Catering To You
12775 New Halls Ferry Rd.
Florissant, MO 63033
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