MOST WANTED

fun run

First Name (please print) Last Name

Address City - State - Zip

Phone Email

Information

The Chase for MaddyLincoln County High School

Panaca, NevadaSaturday, May 11th - 4 pm

Phantom Runner ___ $1+(Donation only) Phantom Runner and Shirt ___ $15+(Donation and commemorative t-shirt)

Student/Youth (Pre-register) ___ $8Student/Youth (Race Day) ___ $10Adult (Pre-register) ___ $16Adult (Race Day) ___ $20Family (2 Adults/2 Youth) ___ $39

rUN or Donation

T-shirt Size

For MaddyThe Chase for Maddy - Lincoln County High School - May 11, 2019

Commemorative T-Shirt

___ Youth Small ___ Adult Small___ Youth Medium ___ Adult Medium___ Youth Large ___ Adult Large ___ Adult X-Large ___ Adult 2XL ($5 extra) ___ Adult 3XL ($5 extra)

___ Cash/Check enclosed - payable to LCHS

Mail or deliver to: Lincoln County High School1111 Edwards StreetPanaca, NV 89042

Thank You!