Girls Inc

Moonlight Chase 4.3 mile Run/Walk

Date: Friday, August 6^th, 2004

Time: 10:00pm

Course: Start/Finish located at the Sunrise Golf Course, 2136 Michigan Road, Madison, Indiana

Contact Sara Wolin at (812) 265-5863 for additional information.

The challenging 4.3 mile course follows the hilly, winding cart path through the golf course.

BRING YOUR OWN WATER

All proceeds to benefit Girls Incorporated of Jefferson County.

Helping girls to become strong, smart, bold.

Entry Fees

Pre Registered – must be received by Wednesday, July 28, 2004

$10.00 Includes specially designed short sleeved t-shirt.

Those pre registered may pick their race packets up race day 12:00pm-5:00pm at Girls Inc or at the golf course starting at 9:00pm.

Late Registration – received after Wednesday, July 28, 2004

$13.00 Includes specially designed short sleeved t-shirt.

Same Day Registration – 9:00am – 5:00pm at Girls Incorporated at 109 West Third St. in downtown Madison, Indiana – or – 9:00pm at the golf course.

$13.00 Includes specially designed short sleeved t-shirt while supplies last.

Awards

Awards will be given for overall Male and Female runners and walkers, and in individual age categories in 10 year increments from 10 and under to 60+.

Make a weekend of it and come see beautiful Madison, Indiana.

Entry form attached.

Moonlight Chase Race Application

_____ $10.00 Run _____ $10.00 Walk

*$13.00 after July 28, 2004

T-shirt Size: S M L XL XXL(add $2.00)

Age on Race Day: _______

Sex: M F

First Name_______________________ Last Name _________________________

Address ___________________________________________________________

City ___________________________ State ___________ Zip Code __________

Daytime Phone ______________________ Evening Phone __________________

Waiver of Liability: In consideration of you accepting my entry, I, hereby for myself, my heirs, executors and administrators do release and discharge forever any and all sponsors and associates promoting and/or staging the Moonlight Chase. I attest and verify that I have full knowledge of the risks involved.

Signature _______________________________________ Date______________

Make checks payable to:

Girls Incorporated of Jefferson County

Mail to:

Sarah Wolin

Girls Inc

109 West Third St.

Madison, IN 47250