SATURDAY APRIL 25, 2009                                  9AM – 11AM

 

Registration Begins at 8:30am

 

 

WHERE : BLANCHARD PARK

 

WHAT TO BRING : WATER, TOWEL & FOOD IF NECESSARY

 

COST : $15.00

 

ADDITIONAL INFORMATION CONTACT : LENISE FAULK

        PHONE : 407-401-4977

        EMAIL : FAULKFITNESS@YAHOO.COM

 

SHIRTS AND ARMBANDS WILL BE AVAILABLE FOR PURCHASE

 

 

 

 

NAME__________________________________________   AGE______ M/F______

 

ADDRESS_____________________________________________________________

 

PHONE______________________   EMAIL__________________________________

 

 

 

OFFICE USE ONLY – PLEASE DO NOT WRITE

WAIVER Y/N____    PAID CHK/CSH____