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Irish Jig Jog 5k

Hosted by Lucas Sophomore Class & FCCLA

March 17th, 2017

Lucas Local School

Lucas, OH

5k Starts at 10:00 pm.

Race Day Registration and Packet Pick-up from 9-9:45 pm at Lucas Elementary

Registration $20 (includes a T-shirt if registered before 3/5. Any registration after 3/5

may result in not obtaining size choice.)

Registration without T-Shirt $15

Proceeds will benefit the Sophomore Class and the FCCLA

There will be a Raffle Following the Race!

Shirts designs are different from previous years!


Make checks payable to:                                 Mail to: Carissa Mahoney/Maleesa Warner

Pioneer Satellite                                                             Attn: 5k Race

                                                                                          5 First Ave.

                                                                                         Lucas, Ohio 44843


Name:_________________________________________________   Age:______


Address:_______________________________  Phone________________________


T-Shirt (circle)

Kids M   L                      Adult   S   M   L     XL              Add $2 for XXL   XXXL


Application must be signed

I agree by signing that I am in good health and I do hereby for myself, my heirs, executors, administrators and assignees, release and forever discharge the sponsors and all those involved in manning this event, from all claims of any kind arising as a result of my participation in this event.


Signature: __________________________________________ Date:__________________

If under 18

Parent or Guardian must co-sign: __________________________________Date:______________

*More forms can be found on the lucas website under the high school tab, in each building office, and rm #224 in the High school.

Or click this link for a printer friendly copy.

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