walk of ages registration form 2009

WALK OF AGES

Date Signature of parent or guardian if under 18

Mail form and entry

fee to:

Cash or Check Only

Phone: 612-532-0308 E-mail:

ChaplainJudyM@aol.com

SILVER CORD MINISTRIES 15363 Trillium Circle

Eden Prairie, MN 55344

Phone

Name

Address

T-shirt Size: S M L XL XXL

Date Signature

As a condition of my Participation, I

hereby assume any and all risks

attendant to my Participation. I

understand that I am responsible for my

own safety, health, and welfare during

this activity.

SEVERAL DOOR PRIZES WILL BE

AWARDED FROM KTIS,

NORTHWESTERN

BOOKSTORES, AND OTHERS

PRIZES

T-SHIRTS

PROVIDED FOR

ALL

PARTICIPANTS

Time: 10:00 a.m.

Date: May 16, 2009

Pre-register by: 04/15/2009

Entry fees:

•$25.00 for Pre-Registered Walkers

•$15.00 for Senior Adult Participants

•$30.00 Same Day Registration

Proceeds will benefit

SILVER CORD MINISTRIES (Spiritual Care For

Homebound Senior Adults)

Enjoy the beautiful 2.5

mile course around

Staring Lake. If that is too

long of a course for you,

enjoy the shorter course

around the Amphitheater

Stage. Enjoy Live Music

and entertainment, all

morning!

For more information or to register call:

JUDY MARKS: 612-532-0308

A great activity for

families and

groups of friends!

Invite your co-

workers, Sunday

School Class, Bible

Study Group,

neighbors!