Please Fill out the Form to enter the 2009 Mother's Day 5K Walk/run.
You can send a check to the address below or register the day of the
race!
Advance Registration
(Postmarked by April 28rd, 2009)
Adult $15.00 Youth $10.00
Day of Race
Adult $20.00 Youth $15.00
In order to ensure that you receive a t-shirt,
please send your registration fee (checks made payable to
Community Breast Care Project) by April 28, 2009 to:
Community Breast Care Project (CBCP)
722 East Capitol
Jefferson City, MO 65101-2307
Mother’s Day 5K Walk/Run
Saturday
May 9, 2009
8:00 A.M. Registration
9:00 A.M Start
Sponsored by
JC Road Runners to benefit
The Community Breast Care Project
Downtown Jefferson City
Community Breast Care Project
712 E. Capital
(across from the old prison)
Name(s): Address: City: Zip Code: Phone#: e-mail address: Age: Total# in your group: Form of payment? Additional information:
Please Check your event(s) and indicate
your t-shirt size(s)
Women's
Run
Women's Walk
Men's Fun
Run
Adult t-shirt
Child t-shirt
Small
Medium
Large
XL
XXL
small
Medium
Large
You can print off the registration
page and mail it into the address
to pre register. If you
pre-register by April 28th, you
will get a t-shirt.
