2009 SCROOGE Bah – Humbug 5K Run

To benefit the Leukemia & Lymphoma Society of Louisiana

Saturday, December 5, 2009

Distance: 5K - 3.1 miles

Location: FAMILY CHURCH, 320 Laird Street West Monroe, LA 71291

Registration: 7:30 – 8:30 am Start of race: 9:00 am

Pre-registration fee: $18 by November 28, 2009 Race day fee: $20

For further information contact Angie at 324-8910.

2009 Race Day Sponsors

D&J Construction

Family Church - Northeast LA Cancer Institute

Skyjacker – Double S Trophies – Scott’s Pure Water

Progressive Bank – Jonathan Hill Construction – Capital One

Cooper Buick GMC – Pro Adjuster Chiropractic Clinic – Entergy

Graham, Bordelon & Company

Home Buyers of LA, LLC – Hy-Air-Co.,Inc

Mike & Barbara Howard – Joshua & Abigail Richardson

Name_______________________________ Phone ( )_______________________

Address________________________________________________________________

City__________________________________________ State_______ Zip_________

Gender ______________________ Age on December 1st________________

Signature required ___________________________________________Date _________

I hereby certify that I am adequately trained and fit to run in this race. In consideration of you accepting my entry, I , intending to be legally bound, do hereby for myself, my heirs, executors and administrators, waive and release forever any and all rights and claims or damages which I may accrue against Ouachita Valley Road Runners, Family Church and any and all sponsors, real and implied, their successors, representatives and assigns for any and all injuries suffered by me while traveling to and from and while participating in the Annual Scrooge Bah-Humbug 5K/10K Run.

Please make checks payable to the Leukemia Society.

Circle t-shirt size Mail to: Angie Richardson

S M L XL 2X 113 Pin Oak Drive West Monroe, LA 71292