CLIP & USE THIS REGISTRATION FORM TAMMY HALL 10th Annual ONLINE Name TAMMY HALI Tammy Hall BREAST HEALTH WALK BREASTHEANTHIWALK Lasting Legacy REGISTRATION | Address BREALTGEALIAWALK Lasting Legacy now available at | City runsignup.com/ breasthealthwalk Saturday, Oct. 10 State/Zip For more information, call - Email EVENT: EVENT: 05K Walk OOver 18 01 Mile Walk OUnder 18 Outdoor Registration: 9:30 a.m. Raffle Ticket Drawing: 10:00 a.m. Emily Saffert 507-831-0624 20z0 AGE: Walk: 10:05 a.m. ENTRY FEE: Join us for a 1-mile walk or a 5K walk! Pre-registration $25 (If registered by Sept. 30) | Adults $30 (If registered after Sept. 30) Included in your entry fee is the walk and event t-shirt. Due to social distancing practices/ COVID-19 protocols, we are unable to hold I brunch at Jack Slade's. Check out the online store for additional sales. BREAST HEALTH WALK SHIRTS: Saturday, Oct. 10 Ol am unable to walk, but would like to order a T-shirt. (Youth $12, Adult $20) Youth: OXS Os OM OL OXL Adult: Os OM OL OXL 02XL D3XL WINDOM AREA HIGH SCHOOL Outdoor Registration at 9:30 a.m. Raffle Ticket Winners Drawn at 10:00 a.m. Walk Starts at 10:05 a.m. Proceeds from this fundraiser will go to support local Women's I Health Fund. Children (12 and under) FREE (shirt fee $12) (add $2) (add $3) PAYMENT: WAIVER: In consideration of accepting this entry, I waive and release any and all rights and claims for damages may have against the "Tammy Hall Breast Health Walk" | sponsors or for any and all injuries suffered by me in said competition, I also give my permission for the free | use of my name and/or pictures for publicity. Pink Pride Sponsors Checks should be made payable to Windom Area Health Foundation. Tammy Hall Memorial Remit registration form and check to: W Breast Health Fund Walk c/o Emily Saffert CITIZEN TORO ATUNE I Entrant Signature WINDOM P.O. Box 339, Windom, MN 56101 ONE REGISTRATION FORM PER ENTRANT. AREA HEALTH I Parent or Guardian signature for entrants under age 18. W WINDOM AREA HEALTH State Farm L CLIP & USE THIS REGISTRATION FORM TAMMY HALL 10th Annual ONLINE Name TAMMY HALI Tammy Hall BREAST HEALTH WALK BREASTHEANTHIWALK Lasting Legacy REGISTRATION | Address BREALTGEALIAWALK Lasting Legacy now available at | City runsignup.com/ breasthealthwalk Saturday, Oct. 10 State/Zip For more information, call - Email EVENT: EVENT: 05K Walk OOver 18 01 Mile Walk OUnder 18 Outdoor Registration: 9:30 a.m. Raffle Ticket Drawing: 10:00 a.m. Emily Saffert 507-831-0624 20z0 AGE: Walk: 10:05 a.m. ENTRY FEE: Join us for a 1-mile walk or a 5K walk! Pre-registration $25 (If registered by Sept. 30) | Adults $30 (If registered after Sept. 30) Included in your entry fee is the walk and event t-shirt. Due to social distancing practices/ COVID-19 protocols, we are unable to hold I brunch at Jack Slade's. Check out the online store for additional sales. BREAST HEALTH WALK SHIRTS: Saturday, Oct. 10 Ol am unable to walk, but would like to order a T-shirt. (Youth $12, Adult $20) Youth: OXS Os OM OL OXL Adult: Os OM OL OXL 02XL D3XL WINDOM AREA HIGH SCHOOL Outdoor Registration at 9:30 a.m. Raffle Ticket Winners Drawn at 10:00 a.m. Walk Starts at 10:05 a.m. Proceeds from this fundraiser will go to support local Women's I Health Fund. Children (12 and under) FREE (shirt fee $12) (add $2) (add $3) PAYMENT: WAIVER: In consideration of accepting this entry, I waive and release any and all rights and claims for damages may have against the "Tammy Hall Breast Health Walk" | sponsors or for any and all injuries suffered by me in said competition, I also give my permission for the free | use of my name and/or pictures for publicity. Pink Pride Sponsors Checks should be made payable to Windom Area Health Foundation. Tammy Hall Memorial Remit registration form and check to: W Breast Health Fund Walk c/o Emily Saffert CITIZEN TORO ATUNE I Entrant Signature WINDOM P.O. Box 339, Windom, MN 56101 ONE REGISTRATION FORM PER ENTRANT. AREA HEALTH I Parent or Guardian signature for entrants under age 18. W WINDOM AREA HEALTH State Farm L