Race Starts @ 7pm and Family Fun Run at 7:30

Lets Glo Run For Tricia 5K & Family Fun Run Entry Form
On Saturday, September 22 there will be a 5K and Family Fun Run/Walk held at the Stratford City Park. This event is being held to raise money for the Wood Family of Stratford, OK. Our sweet friend Tricia Wood was recently diagnosed with brain cancer. Tricia is the wife of longtime resident and 1999 graduate of SHS, Josh Wood. Josh has just recently returned home from Afghanistan after serving our country. Josh and Tricia are the proud parents of sweet 1yr old Wyatt. We are asking friends and family to come out show Tricia how many of us are fighting for her!!! All proceeds benefit the Wood Family. Come early to enjoy all the festivities! Glo-Fest to start at 4pm with Inflatables, Face Painting, Hair Beading, Barrel Train for the Kiddos, Hamburgers, Cotton Candy, Popcorn and Concession. Bring your lawn chairs or blankets and join us for Movie Under the Stars scheduled to start at dusk.
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5K Run

(USATF Certified Course # OK12074DG)

$35

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Tricia, Josh and Wyatt Wood

Family Fun Run/Walk

Race Day Entry Add Shirt Only Shirt Size: Adult $15 Adult S

$15
$5 Youth $10 Adult M

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___________ ___________ Adult L Adult XL

Adult XXL (add $1.50 to entry) Youth S

(One entry form per participant.)

Youth M

Youth L

Total Paid: $___________________

Return completed entry and money to:

Participant Name: ____________________________________________________ Address: ______________________________________________________________ ______________________________________________________________ Email: _________________________________________________________________ Contact Number: ________________________________ Age: ______________

Lets Glo Run for Tricia P.O. Box 463 Stratford, OK 74872

Sex: Male or Female

Shirts will be distributed on a first come first serve basis. Make checks payable to Lets Glo Run for Tricia. Entry fees are non-refundable. Late registration is also available at the Stratford City Park at 6pm on race day.

For more information contact Juleigh Smith at 580-399-3797 or ryan.juleigh@yahoo.com or Carri Chamberlain at (580) 3205940 or cchamberlain@wildblue.net .
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I know that although protection will be provided, there will be a possibility of traffic on the course. I assume the risk of running in traffic. I also assume any and all other risks associated with running this event including, but not limited to, falls, contact with other participants, the effects of the weather and the conditions of the roads, all such risks being known and appreciated by me. Furthermore, I agree to yield to all emergency vehicles. I am also fully aware that pushing, pulling, dragging, wearing, carrying or leading anything or anyone is strictly prohibited. This includes strollers, joggers, pushed wheelchairs, roller blades, skateboards, wheels of any kind (except competitive wheelchairs), animals and flags. I agree not to have them on the course. I agree not to go back onto the course after finishing the race. I am aware that this waiver applies to races and fun runs. Knowing these facts, and in consideration for your accepting my entry, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive and release and discharge any and all of their agents, assigns or anyone acting for or on their behalf from any and all claims or liability for death, personal injury or property damage of any kind of nature whatsoever arising out of, or in the course of, my participating in this event. Whether same be caused by negligence or fault. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned also grants full permission to sponsors and/or agents authorized by them to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose.

____________________________________________________________________ Signature

_______________________________________________________________________ Parent/Guardian Signature

(If under 18 years of age, form must be signed by parent or guardian.)