8:00 a.m. Registration

9:00 a.m. Start/Walkers - 9:15 a.m. Start/Runners

Where: Fort Lewis College (at the playground by the softball fields)

Entry Fee: $18.00 adults

Name: ____________________________________________

Sex: _____________ Age: ___________

Address: ____________________________________________________________

Phone: ______________________

City: ________________________ State: _____________ Zip: _____________

Email: ______________________________________________

Circle Event: 5K Run 5K Walk

Circle T-Shirt Size: S M L XL

Please read and sign the following: In consideration of this entry, I,

intending to be legally bound hereby, understand and assume all risks

of injury to me or my child which may occur while running or walking

this event; and I, for myself, my heirs, executors, administrators and

personal representatives, forever waive and release all rights and

claims for injury or damages I may have against Vectra Bank, Colorado,

Animas Events, Mercy Health Foundation and all other persons related to

and sponsors of the Journey of Hope 5K Family Run/Walk, arising out of

my participation, or that of my child, in this event. I also understand

that baby strollers, baby carriages and dogs are not allowed in the

event, and that I will observe that regulation. I also give full

permission for use of my name and photograph in connection with this

event.

Signature_____________________________________

Parent/Guardian Signature (if participant is under 18)

PRE-REGISTRATION IS STRONGLY ENCOURAGED!

Please make check payable to Mercy Health Foundation and mail your

completed and signed entry form and check to: Hope Run/Walk, c/o 15

Etta Place, Durango, CO 81303 by Sept. 26. We will make every effort

to accommodate your t-shirt size request!

Please complete a form for each family member participating in the

event - please feel free to copy this form.

Each life is a Journey of Hope as is the quest

for a cure to breast cancer

Join the Tenth Annual Journey of Hope 5K Family Run/Walk

Saturday, October 2, 2004 at

FLC Rim (starting at playground by softball fields)

The Journey of Hope 5K Family Run/Walk is sponsored by Vectra Bank

Colorado and Animas Events in commemoration of October as Breast Cancer

Awareness Month. Proceeds will be held in trust by the Mercy Health

Foundation and used to provide mammograms to women in our community who

otherwise cannot afford them.

Registration 8:00 a.m.

9:00 a.m. start for walkers, 9:15 a.m. start for runners

Entry Fee: $18 for adults - Children under 12 free (or $18 if t-shirt

desired)

For additional info. please call 247-3108 (evenings) or 382-6211 (days)

8:00 a.m. Registration

9:00 a.m. Start/Walkers - 9:15 a.m. Start/Runners

Where: Fort Lewis College (at the playground by the softball fields)

Entry Fee: $18.00 adults

Name: ____________________________________________

Sex: _____________ Age: ___________

Address: ____________________________________________________________

Phone: ______________________

City: ________________________ State: _____________ Zip: _____________

Email: ______________________________________________

Circle Event: 5K Run 5K Walk

Circle T-Shirt Size: S M L XL

Please read and sign the following: In consideration of this entry, I,

intending to be legally bound hereby, understand and assume all risks

of injury to me or my child which may occur while running or walking

this event; and I, for myself, my heirs, executors, administrators and

personal representatives, forever waive and release all rights and

claims for injury or damages I may have against Vectra Bank, Colorado,

Animas Events, Mercy Health Foundation and all other persons related to

and sponsors of the Journey of Hope 5K Family Run/Walk, arising out of

my participation, or that of my child, in this event. I also understand

that baby strollers, baby carriages and dogs are not allowed in the

event, and that I will observe that regulation. I also give full

permission for use of my name and photograph in connection with this

event.

Signature_____________________________________

Parent/Guardian Signature (if participant is under 18)

PRE-REGISTRATION IS STRONGLY ENCOURAGED!

Please make check payable to Mercy Health Foundation and mail your

completed and signed entry form and check to: Hope Run/Walk, c/o 15

Etta Place, Durango, CO 81303 by Sept. 26. We will make every effort

to accommodate your t-shirt size request!

Please complete a form for each family member participating in the

event - please feel free to copy this form.

Each life is a Journey of Hope as is the quest

for a cure to breast cancer

Join the Tenth Annual Journey of Hope 5K Family Run/Walk

Saturday, October 2, 2004 at

FLC Rim (starting at playground by softball fields)

The Journey of Hope 5K Family Run/Walk is sponsored by Vectra Bank

Colorado and Animas Events in commemoration of October as Breast Cancer

Awareness Month. Proceeds will be held in trust by the Mercy Health

Foundation and used to provide mammograms to women in our community who

otherwise cannot afford them.

Registration 8:00 a.m.

9:00 a.m. start for walkers, 9:15 a.m. start for runners

Entry Fee: $18 for adults - Children under 12 free (or $18 if t-shirt

desired)

For additional info. please call 247-3108 (evenings) or 382-6211 (days)

8:00 a.m. Registration

9:00 a.m. Start/Walkers - 9:15 a.m. Start/Runners

Where: Fort Lewis College (at the playground by the softball fields)

Entry Fee: $18.00 adults

Name: ____________________________________________

Sex: _____________ Age: ___________

Address: ____________________________________________________________

Phone: ______________________

City: ________________________ State: _____________ Zip: _____________

Email: ______________________________________________

Circle Event: 5K Run 5K Walk

Circle T-Shirt Size: S M L XL

Please read and sign the following: In consideration of this entry, I,

intending to be legally bound hereby, understand and assume all risks

of injury to me or my child which may occur while running or walking

this event; and I, for myself, my heirs, executors, administrators and

personal representatives, forever waive and release all rights and

claims for injury or damages I may have against Vectra Bank, Colorado,

Animas Events, Mercy Health Foundation and all other persons related to

and sponsors of the Journey of Hope 5K Family Run/Walk, arising out of

my participation, or that of my child, in this event. I also understand

that baby strollers, baby carriages and dogs are not allowed in the

event, and that I will observe that regulation. I also give full

permission for use of my name and photograph in connection with this

event.

Signature_____________________________________

Parent/Guardian Signature (if participant is under 18)

PRE-REGISTRATION IS STRONGLY ENCOURAGED!

Please make check payable to Mercy Health Foundation and mail your

completed and signed entry form and check to: Hope Run/Walk, c/o 15

Etta Place, Durango, CO 81303 by Sept. 26. We will make every effort

to accommodate your t-shirt size request!

Please complete a form for each family member participating in the

event - please feel free to copy this form.

Each life is a Journey of Hope as is the quest

for a cure to breast cancer

Join the Tenth Annual Journey of Hope 5K Family Run/Walk

Saturday, October 2, 2004 at

FLC Rim (starting at playground by softball fields)

The Journey of Hope 5K Family Run/Walk is sponsored by Vectra Bank

Colorado and Animas Events in commemoration of October as Breast Cancer

Awareness Month. Proceeds will be held in trust by the Mercy Health

Foundation and used to provide mammograms to women in our community who

otherwise cannot afford them.

Registration 8:00 a.m.

9:00 a.m. start for walkers, 9:15 a.m. start for runners

Entry Fee: $18 for adults - Children under 12 free (or $18 if t-shirt

desired)

For additional info. please call 247-3108 (evenings) or 382-6211 (days)