
|
 General Info.
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 Registration Info.
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 Medical Information
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 Waiver Form
|
 Entry Form
|
 Fitness Walk
|
 Line-Dance
Registration
|
 Checklist Form
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OLYMPIC FITNESS
WALK
Friday June 15,
2007
Forest Park - 10am
Fitness Walk Details
You may walk any distance
from one to three miles. A special recognition will be given to the COA
(Senior Center),
YMCA, Recreation department or any organized group
having the largest number of participants. Please join us for a full day
of fun.
REGISTRATION FEE
$10.00
(includes box lunch)
2007 Olympic Fitness Walk Registration
Form
PLEASE
PRINT
Name__________________________________________________________________
Address
________________________________________________________________
City/State/Zip____________________________________________________________
Telephone_______________________________________________________________
Complete
one of the following to indicate group membership:
COA (Senior
Center)______________________________________________________
YMCA
_________________________________________________________________
Recreation
department or
other_______________________________________________
I have read the liability waiver on the
back and agree with the conditions:
Signature________________________
Date____________________________________
Make checks payable
to:
Massachusetts Senior Games
263 Alden Street
Springfield, MA
01109
(Deadline for registering is June 4, 2007)