Back the Blue

5K Run/Walk
Saturday, June 10, 2017
9:00 am

Race Location: Victor Fire Hall. Registration begins at 8am in Victor Park.

Directions: Turn West off Hwy 93 into Victor, on 5th Ave. Head west 1 block Corner of 5th and Tudor St.

Course Description: Easy- Moderately hilly, loops around outskirts of Victor, starting and finishing at Victor park.

Awards: All runners will receive free pancake breakfast and finishers medal

Proceeds: Benefit Local Law Enforcement Agencies. Stevensville Police Reserve Officers association will use proceeds
where they deem fit.

Entry Cost information: $25 with finishers medal and free breakfast. Pancake breakfast for non-runners is on a
donation only basis. There WILL BE RACE DAY REGISTRATION

Other Information: This is a NON-TIMED event, pancake breakfast will be served during the race for those wishing to
enjoy while waiting for the runners to cross the line, as well as after all runners have finished allowing all participants time
to enjoy their meal.

Make Checks to: Stevensville Reserve Officers Association and mail to 3120 Snowy Dr., Stevensville, MT 59870 or
drop of registration forms and payment to Stevensville Police Dept.

Contact: Kristy Gaul 406-546-1051, email- kgaul86@gmail.com

501c3: 46-2254118

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BACK the BLUE 5k 6/10/17 PLEASE PRINT LEGIBLY

Name_____________________________________________ Sex____Age______
Address ____________________________________________________________
City, State Zip ________________________________________________________
Phone ___________________________ E-mail ___________________________
Name of affliation of Club or Team _______________________________________

Waiver (MUST BE SIGNED)

In consideration of your accepting this entry,I, the below signed, intending to be legally bound, for myself, my heirs,my executors and administrators, waive and
release and any all rights and claims for damages I may have against the race, and sponsors and their representatives, successors and assigns for any and all
injuries suffered by me in said event. I attest that I will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this
event. Furthermore, I hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I may appear
for any legitimate purpose, including advertising and promotion.

Signature_________________________________________Date________

Parent or Guardian signiture if under 18_____________________________________