Laney Herrin Scholarship 7K Run/ Walk

1. Saturday, September 11, 2010 This 7K run/ walk is open to all ages and will take place at 2:00 in the afternoon on Saturday, September 11. The race begins in front of Union County Middle School. The entry fee is $20 before Friday, September 3 ($22 race day) Laney Herrin Scholarship 7K Run/ Walk All participants will receive a t-shirt. Awards will be given to the top men’s and women’s finishers. All proceeds will go toward a scholarship fund for Union County High School students who plan on attending college or technical school in memory of Laney Herrin. Laney Herrin was a beloved teacher at Union County Middle School and College Corner- Union School for a number of years. Registrations can be sent to: Laney Herrin Scholarship 7K Run/ Walk Attn: Rene Felton 1083 South Stone Road Liberty, Indiana 47353 Name: Phone #: Gender: M/F Address: City: State: Zip Code: Birthday: Age: Email: Adult T-Shirt Size: S M L XL Youth T-Shirt Size: M L I certify that I am physically fit and capable of running the Laney Herrin Scholarship 7K Run/ Walk. I assume all risks associated with my participation. I hereby release all sponsors, officials, and associates of this event from liability for any/ all damages or injuries during or arising from my participation. Participant’s Signature (Parent’s Signature if under 18) Date Office Use Only Amount Paid: $ Cash: Check Number: Initials: Date: