location:

howard burk baseball field
bevier, missouri
old highway 36 west

October 22, 2011 9am

entry fee for run & walk:

$15.00 per person through October 15th
$20.00 per person day of race

make checks out to:

sonya wilson
memo: Jackie's warriors

entry form & fee may be mailed to:

sonya wilson
34467 state hwy c
bevier, missouri 63532

or
they can be dropped off at
Macon Rehabilitation services

kathy abernathy
106 butler st., suite c
macon, missouri 63552

packet pickup: packets will be available at 8:00 am until time of race.

Race Application
Name
______________________________________
Address
______________________________________
city/state/zip
______________________________________
age (on race day) _____
Phone
________________________________
email
________________________________
shirt size (Adult sizes)

Circle one:

s m l xl xxl
Circle the event in which you are participating:
5k Run 2 mile walk

Race application waiver:

Intending to be legally bound, I understand and agree
the I am voluntarily participating in the following
event. Jackie's warriors Fundraiser event 5K/2 mile
walk at my own risk. I acknowledge and represent
that I am physically fit and sufficiently trained to
participate in an event of this nature. I accept all and
full responsibility for any injury or accident resulting
from my participation in this event and release
the City of bevier, all race sponsors and any race
officials or volunteers connected with this event.
signature (Parent or Guardian signature if under 18)
______________________________________________
date
______________________
Course:

You will start at the Bevier Baseball Field and
go west on the old highway.
The 2 mile walk will begin at the same
starting line.

Awards:

Medals will be given to the 1st place finishers in each age group for male & female 5k finisher.

2nd & 3rd place will receive awards also
The 2 mile walk is for leisure, no awards

t-shirts:

5k run & walk participants will recieve a
short sleeved t-shirt

Refreshments:

Water and fruit will be abailable
to all participants at no charge.

no pets allowed on the
run/walk course
men & women divisions:
14 & under 15 - 19
20 - 29 30 - 39
40 - 49 50 and over

For more information contact:

Sonya wilson
660-385-5450, 660-385-6244, 660-349-0913
wilson5@cvalley.net

all proceeds go to
jackie ehly

Boyz of bevier acres will be grilling in the city park following the warriors run.
lunch will be served from 11:00 to 1:00

Menu:
brats, hamburgers, hot dogs,
side dishes, desserts
& drinks
this will be
free will donation

rain:
if it is raining the lunch will take place at the community of christ church
200 east gentry, bevier, mo

all donations will go to jackie ehly to help in her battle with breast cancer.