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1011 W Main Buffalo, MO 65622 417-345-2332

Registration

FREE!Grow Healthy Buffalo Fun/Run FundraiserFREE!

 When: Saturday, September 18, 2021 @ 9:00am

Run starts at 9:00am, “day of” registrations from 8:15am-8:45am; no new registrations after 8:45am

 Location: Race begins at Dallas County Health Department-1011 W. Main St. Buffalo, MO 65622

Please park across the street at First Baptist Church 

Cost: FREE-Donations accepted to help support incidental costs of Memorial Benches for the class of 2026; additional donations will be applied to DCHD building fund.

 T-shirts may be ordered (please see the t-shirt form) To have a t-shirt the day of the event you must order and pay by Friday, September 3, 2021 @ noon; shirts will also be sold the day of the event.

 Registration: Registration forms are available electronically on the Dallas County Health Department and Dallas County Live Well Alliance Facebook pages or in paper form at the Dallas County Health Department.  You may also register the day of the event from 8:15-8:45am.   

Additional Information:  This event is non-competitive, however, we will have prizes for optional events-fitness station participation, mental health quiz and tobacco survey.

 Name:________________________________________________________

 Address:_______________________________________________________

 Phone/Cell:__________________________________________________

 E-Mail:________________________________________________________

 WAIVER-I acknowledge  and represent that I am physically fit and sufficiently trained to participate in an event of this nature.  I accept all and full responsibility for any injury or accident resulting from my participation in this event, including those which may be attributed to weather conditions.  I release and hold harmless from any and all liability the Dallas County Health Department, the Ozarks Regional YMCA and any Ozarks Regional YMCA Branch, the City of Buffalo, and any and all sponsors, organizations, and officials connected with this event.

 Participant Signature (parent or guardian if under 18):__________________________________________                                                                                   

Date:____________________________________