Liv a Life of Love - Ridge Runner Sports

Liv a Life of Love
1st Annual
Liv’s Run for Life 5K
Promoting the Gift of Life through Organ Donation Awareness
#livon #donatelife #organdonation
Race Date: Saturday, April 18, 2015
Race Location: Republic Aquatic Center 711 E. Miller Road, Republic, MO 65803
Race Time: Registration at 7:00a.m.
Race starts 8:00 a.m.
Packet Pick-Up: Friday, April 17, 12:00p.m-6:00p.m. Ridge Runner Sports 3057 S. Fremont, Springfield, MO 65804
Race Day 7:00 a.m. at the RAC.
Fee: $30.00 (If received by April 17, 4:00p.m.)
$35.00 (Day of the Race)
Awards: Ceremony immediately follows the race. Medals awarded for overall male and female runners.
And 1st, 2nd and 3rd in multi-age classes. Refreshments will also be offered to runners after completing the race.
Age Groups: <15, 15-25, 26-35, 36-45, 46-55, 56-66, and 66+
T-Shirts: Guaranteed with paid registration received by March, 28th
For more information follow us on Facebook at Liv’s Run for Life
Questions contact Angela Rose 417.399.8240 or email livonrun@gmail.com
Proceeds benefit the Olivia Lauryn Didway Scholarship Memorial Fund and MTS Family House, St. Louis, MO
Name___________________________________________________Birthdate: ________/__________/________
Email_______________________________________Address______________________________________________
City___________________________________________________State_____________Zip______________________
______________________
Phone (___)_______________________________Male_________Female_________T-Shirt:
S_____M_____L_____XL_____2XL____
I, hereby for my heirs, and myself waive any and all rights for claims on this event in case of injury. I also release and hold harmless
any sponsors, including Ridge Runner Sports, Inc. and Ozark Racing Systems, volunteers, and organizers of this event. I, by signing
below, specify that I am in acceptable shape and medical condition to compete in this event. No refunds will given if cancelled due
to inclement weather.
____________________________________________________________________________________________________________
Participants Signature
Parents Signature if < 18 yrs. Of age
Please detach and return the registration form with payment. Make checks payable to Liv’s Run for Life Memorial Fund. Mail to
416 E. Sequoia Republic, MO 65738. Drop off at Ridge Runner Sports 3057 S. Fremont, Springfield, MO 65804. OR Pay via credit
card at www.ozarksracing.com
Sponsored in part by: Mid-America Transplant Services, Donate Life of Missouri, Kris Yocum State Farm Insurance, Supplement
Superstores, Paula Silverest, Realtor Keller Williams Reality, Leslie Forbis, Studio 484 Hair Designs, Carla and Ronnie Gillespie, Krystal
Klean Solutions, LLC
Sponsored in part by: Mid-America Transplant Services, Donate Life of Missouri, Kris Yocum State Farm Insurance, Supplement
Superstores, Paula Silverest, Realtor Keller Williams Reality, Leslie Forbis, Studio 484 Hair Designs, Carla and Ronnie Gillespie, Krystal
Klean Solutions, LLC
Sponsored in part by: Mid-America Transplant Services, Donate Life of Missouri, Kris Yocum State Farm Insurance, Supplement
Superstores, Paula Silverest, Realtor Keller Williams Reality, Leslie Forbis, Studio 484 Hair Designs, Carla and Ronnie Gilepsie, Krystal
Klean Solutions, LLC