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 (the”Event”).
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: BESSERMAN’S 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