Stori's Miracle in Motion 5K

A finish medal will be handed out for those that finish. T-shirts first 100 pre-registered, a cut off date 5/25/26 giving time for shirts to get done. There will be limited amount of shirts the day of race. Race day Registration begins 7:00 am until 7:45. $25. 00 entry fee, checks made payable to Stori’s Miracle in Motion 5K Mail to Jeanne Davis, 306 HWY 7 N, Powhatan Pt. , OH 43942 We will be having a chinese auction, also raffling off a corn hold set. Lots of other activities going on after race. Proceeds for Sanfilippo Research. Name:_____________________________________________ Address:_________________________ City:_________________State:____ Phone:________________ Gender: Male:____Female:______ Run:________ Walk:______ Age:________ Shirt size: S  M L  XL  2XL(+$3. 00 for sizes 2XL and up) WAVIER: In submitting this entry, I, intending to be legally bound for myself, my heirs, executors, and administrators, waive, release and foreverdischarge any and all rights and claims which I may hereafter accrue against any event sponsors, event volunteers, event staff and their officers, directors, agents, successors and/or assigns for any injuries suffered by me at this event while traveling to and from the event or while participating in it. I attest and verify that I am physically fit and sufficiently trained to competition of the event. I understand that I may be photographed and agree to allowing my photo, video or film likenes to be used for any legitimate purpose by the aforementioned parties. X___________________________________________Date:____________ Signature (parent/legal guardian if under 18) Shirt sizes 2XL and larger an additional fee of $3. 00