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Registration
Form
Name________________________________________
Mailing
Address __________________________________
________________________
Postal Code____________
Phone
Number (___)______________________________
Email________________________________________
Gender:
[ ] Male [ ] Female
Age
on Race day___________ Date of Birth________________
Event
[ ] 5K
[ ] 10K [ ] 10 Miler
T-Shirt
Size
[ ]
Small [ ] Medium [ ] Large [ ] X-Large
A
waiver will be signed on race day.
Race
Fee:
$25.00
Cheques payable to: Canada Day 10 Mile
0n-line
registration:
http://www.atlanticchip.ca/
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The
Grand Bay-Westfield Canada Day
10
Miler
(Includes
10K
and 5K events)
July
1st
9am
Start Time
The
Grand
Bay-Westfield Canada Day 10 Miler is part of the NB’s Super Series.
The awards ceremony begins at 11:00 sharp.
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Registration:
Human
Performance Centre
River Valley Community
Centre
749 River Valley Dr.,
Suite 2
Grand Bay- Westfield, NB
E5K 1B6
(506)738-3554
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Chip Pick-up:
Race day: 7:30-9:00 am
Start
Time: (All
3 events) 9:00 am
Nordic
Walkers: 8:00 am

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We
can always use more volunteers!
Contact:
Human
Performance Centre
738-3554
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