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2021 5K Rib Run Registration

2021 Howells 5K Rib Run/Walk


Starting Time:  8:30 A.M.

Sponsored by Howells-Dodge FCCLA


Saturday, September 11, 2021

Begins by St. John’s Church

322 S. 2nd Street in Howells


Register by Friday, August 27 to receive a T-shirt!!

Registration will begin at 8:00 A.M.

Entry Fee:

$20.00 with T-shirt – $15.00 without T-shirt

(Walk-ins are welcome, but they will not receive a t-shirt.)


*Awards will be given to the top three males and females in each age division.


Registration Form


Name: _______________________________

                                                                                                Mail Registration Forms To:

Address:  _________________________________                         Marla Prusa

                __________________________________                       Howells-Dodge Consolidated

                                                                                                            P. O. Box 159                                                                                                                                     Howells, NE  68641

email address:  ______________________________                                                                   


Gender:           _____ Male     ______Female                         Make Checks Payable To:

                                                                                                            Howells-Dodge FCCLA

Age Division:   (circle one)

       10 and under         11-18           19-30                              

                   31-50             Over 50                                                                                                                                                                            

T-shirt Size:  (circle one)                                                                                                                             Adults       S       M        L       XL      XXL                            

            Children         S       M       L


Waiver:  In consideration of your acceptance of my entry, I hereby for myself, my heirs and executors, waive and release any and all rights and claims for damages or injury suffered by me against the Howells-Dodge FCCLA or any volunteer workers.  I realize that this is a strenuous physical activity and I verify that I am in good enough physical condition to participate in this event and other sponsored activities.


________________________________                    __________________________________

              Participant’s Signature                                      Parent/Guardian Signature (if under 19)