RESURRECTION RUN
5K & 1 mile 
 
Sunday, April 8, 2012  8:00am
Emmanuel Baptist Church,  310 N. 800 E. Hyrum UT
www.ebchyrum.com    435-770-6508
				Pre-registration 		7:30am
				Race 				8:00am
				Breakfast			After the race
				Easter Worship 		10:45am  
Fund raiser for Missions 
Preregistration $10 before March 26, 2012,    $15 after March 26, 2012
Registration Form
Participants Name: __________________________ Age: ___________
Home Address: _____________________________ T-shirt Size: ________

Phone Number: _________________ Emergency Contact: ________________
E-Mail Address: _________________ Emergency Contact Phone: ___________

Release: In consideration of this entry, I waive all claims for myself and heirs against any race official, sponsor or participant for injury or illness which may directly or indirectly result from my participation. I further state that I am in the proper physical condition to participate in the event and grant the race officials, sponsors or media permission to use photographs or any other record of the event for any legitimite purpose.

Signature:_________________________________________  Date:___________________