Please completed form and mail w/ a check to
CMBA
PO Box 25
Clayton, GA 30525
All forms must be received by November 18, 2011 if sent by mail
Or You may bring a completed form and cash or check to
Fromage & Other Fine Foods
31 Earl Street, Clayton, GA 30525
$20 for adults w/ non perishable food item
$10 plus non pershible food item 11-16 yrs
$5 for 10 and under
Turkey Trot for Clayton Cluckers
Thursday November 24, 2011; Race Begins 9a.m., Registration at 8a.m.
Age:_________
Name: ______________________________________________________________
Address: ___________________________________________________________
Phone: _____________________________________________________________
E-mail: _____________________________________________________________
Children Running (10 & Under must be w/ adult):
_________________________________________________________Age:_______
_________________________________________________________Age:_______
_________________________________________________________Age:_______
_________________________________________________________Age:_______
Emergency Contact:
Name: ______________________________________________________________
Phone: _____________________________________________________________
The Clayton Merchants & Business Association, The City of Clayton and any property owner as well as their representatives and/ or employees are not liable for any damages or injuries that may occur.
This is a rain or shine event. Please sign below to acknowledge you are running and will be responsible for your own and your listed children’s safety.
Signature: _______________________________________________Date: ______