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March for Maci

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Start:
September 15, 2012 8:00 am

March for Maci

The 5k run/walk is to show support for Maci Jefferies who has been diagnosed with Gorhams disease.

Starts/Ends: Stage on Front Street
Orrick, MO 64077
When: Saturday, September 15
Start Time: 8:00 am

Registration fee: $15.00
All proceeds will go towards the research of Gorhams Disease.

Adult Shirts S-Xl $7.00 xxl $8.00 xxxl $9.00
Youth Shirts s-xl $7.00
T-shirts are extra and orders must be in before Sept. 8th.

Volunteers are also needed.
Questions contact:
Becky Vick 816-260-1801 Becky3004@hotmail.com
Sally Vick 816-260-1479

You will be able to pick up your shirt at Antiques and More on Friday the 14th or morning of race

No refunds!
Sponsor: Orrick Lions Club
___________________________________________________________
Participant $15.00 _______ or Volunteer______________

Name_______________________________________

E-mail______________________________________

Phone ______________________________________

Shirt- Write the number of shirts you want by the size.
Youth-$7.00 S___ M___ L___ XL___
Adult-$7.00 S___ M___ L___ XL___ XXL($8)___ XXXL($9)___

Make checks payable to: Orrick Lions Club
Send registration and volunteer forms to:
Sally Vick 35054 Hwy Z Orrick, mo 64077

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