2017 Royal Valley FFA Farmer Dash Registration

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The 4th Annual Royal Valley FFA Farmer Dash will be held at the Hoyt City Park on June 10th, 2017, starting at 9:00 a.m with the 1-mile course with 4 obstacles. The 5K Farmer Dash with over 10 obstacles will be starting as soon as the 1-mile run is completed. Registration is due by June 1st to receive a t-shirt, but registration will be accepted at the Farmer Dash. Registration fees can be mailed to Kim Clark, 101 East 1st Street, Hoyt, Kansas 66440. Send questions to clarkki@rv337.org

Name: *

Event *

5K with over 10 obstacles $25

1 mile fun run with 4 obstacles $20

Date of Birth: *

Individuals under 18 require parent signature at event

E-Mail: *

Needed to e-mail start times for waives

Address: *

City: *

State: *

Zip Code: *

Gender *

Male

Female

T-Shirt Size *

Child Small

Child Extra Small

Child Medium

Child Large

Adult Small

Adult Medium

Adult Large

Adult X-Large

Adult 2XL

Adult 3XL

Other:

Phone Number: *

Emergency Contact Name: *

Emergency Contact Number: *

Discloser Statement-Typed Signature *

Royal Valley USD 337, Royal Valley FFA Chapter, Kim Clark, and the Hoyt City Park will not be held liable for any accidents, injuries, or death associated with the Royal Valley Farmer Dash. Participants enter the Royal Valley FFA Farmer Dash at their own risk, and the participants assumes all responsibility for any expenses that may be acquired from their participating in this event.

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