3rd Annual Lexington Pot of Gold 5K Race/Walk Saturday, March 3, 2012 at 4:00 PM

Where and When: The race starts at 4:00 p.m. in the Village of Lexington 

Pre-registration: Online at Lexingtonmichigan.org

Cost:  $15.00 for students, adults $20.00

 Early Registration Guarantees a T-Shirt to February 26, 2012

$25.00 Race Day Registration at the Irish Rose Gifts 7282 Huron Ave, Lexington MI

Mail entry to: Lisa Shaw, 6861 County Farm Road, Lexington MI, 48450

For more information: Contact Lisa Shaw at 810-359-3379

Awards: Overall Male/Female and Age Groups

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Name_____________________________________________________________________________

Age_______ Sex (Circle One)  Male    Female             Shirt Size        S          M         L          XL

Mailing Address____________________________________________________________________

City_____________________________

State_____________________________Zip_____________

Early Registration through February 26, 2012

Make checks payable to Cros-Lex Athletics

Waiver and Release of Liability

I hereby release the Village of Lexington and all individuals or organizations associated with the Lexington Pot of Gold

5K Race/Walk from all responsibility and or liability for any losses, injuries or accidents I incur in connection with this event.

Signature_______________________________Emergency Phone Contacts______________________

Parent/Guardian signature if under_______________________________Date_______________