Document 1576

PARTICIPANT #3
PARTICIPANT #3
Name __________________________________________
Name
__________________________________________
(First name,
last name)
(First name, last name)
Age _______
� Male � Female
Age _______
� Male � Female
Check one: � 5K run � 2 mile walk
Check one: � 5K run � 2 mile walk
Adult T-shirt Size (check one): � S � M � L � XL
M $2)
� L � XL
Adult T-shirt Size (check one): �
� SXXL�(add
� XXL (add $2)
Signature (parent/guardian) __________________________
Signature (parent/guardian) __________________________
PARTICIPANT #4
PARTICIPANT #4
Name __________________________________________
Name
__________________________________________
(First name,
last name)
(First name, last name)
Age _______
� Male � Female
Age _______
� Male � Female
Check one: � 5K run � 2 mile walk
Check one: � 5K run � 2 mile walk
Adult T-shirt Size (check one): � S � M � L � XL
M $2)
� L � XL
Adult T-shirt Size (check one): �
� SXXL�(add
� XXL (add $2)
Signature (parent/guardian) __________________________
Signature (parent/guardian) __________________________
I know that running in a race is potentially hazardous activity. I should
enter
and
run unless
am medically
ablehazardous
and properly
trained.
I agree
Inot
know
that
running
in aIrace
is potentially
activity.
I should
to abide
by arun
decision
a race
officialable
relative
to my ability
to safely
not
enter and
unlessofI am
medically
and properly
trained.
I agree
complete
run. I assume
all risks
associated
running
event
to
abide bythe
a decision
of a race
official
relativewith
to my
abilityintothe
safely
includingthe
butrun.
notI limited
to falls,
contact with
participants,
the
complete
assume all
risks associated
withother
running
in the event
effects of weather
including
and/or
traffic andthe
including
but not limited
to high
falls, heat
contact
withhumidity,
other participants,
conditions
of the including
road, all such
known
and appreciated
effects
of weather
highrisks
heatbeing
and/or
humidity,
traffic and by
me. Havingofread
waiver
and risks
knowing
these
facts and in
consideration
conditions
thethis
road,
all such
being
known
appreciated
by
of the
Wisconsin
Ovarian
Cancer
Alliance
entry, I, for
me.
Having
read this
waiver and
knowing
theseaccepting
facts and my
in consideration
myself
and anyone
entitledCancer
to act Alliance
on my behalf,
waive
release
the
of
the Wisconsin
Ovarian
accepting
myand
entry,
I, for
Badgerland
Stridersentitled
running
of Wauwatosa,
including
myself
and anyone
toclub,
act onthemyCity
behalf,
waive and release
the
WauwatosaStriders
East High
School,
Froedtert
&oftheWauwatosa,
Medical College
of
Badgerland
running
club,
the City
including
Wisconsin, East
Milwaukee
CountyFroedtert
Parks, race
officials,
all sponsors,
Wauwatosa
High School,
& the
Medical
College oftheir
representatives
and successors
all race
claims
and liabilities
of anytheir
kind
Wisconsin,
Milwaukee
Countyfrom
Parks,
officials,
all sponsors,
arising out of participation
me or
of my
children
this
representatives
and successorsbyfrom
all any
claims
andminor
liabilities
of anyinkind
event. out
I grant
permission ofbyallme
theorforegoing
tominor
use anychildren
photographs,
arising
of participation
any of my
in this
motion
pictures,
recordings
or the
anyforegoing
other record
of this
for any
event.
I grant
permission
of all
to use
any event
photographs,
legitimate
purpose.
I certifyor
that
anrecord
amateur
eligiblefortoany
motion
pictures,
recordings
anyI am
other
of and
this event
compete in
this event
in accordance
TAC AAF
legitimate
purpose.
I certify
that I amwith
an amateur
andrules.
eligible to
compete in this event in accordance with TAC AAF rules.
With no definitive symptoms, the disease
no definitive
symptoms,
canWith
be challenging
to diagnose
andthe
evendisease
more
can
be
challenging
to
diagnose
and
even
challenging to treat. Due to lack of reliablemore
early
challenging
to treat. Due
tocases
lack ofarereliable
early
detection methods,
most
discovered
detection
most cases
are discovered
when the methods,
cancer is already
advanced.
The
when
the
cancer
is
already
advanced.
American Cancer Society estimates thatThe
21, 300
American
Society
thateach
21,year,
300
women areCancer
diagnosed
withestimates
the disease
women
are
diagnosed
with
the
disease
each
year,
and 14,000 die from the disease annually.
and
14,000
dieis from
the disease
annually.
That’s
why it
so important
to understand
That’s
why
it
is
so
important
to
understand
ovarian cancer and to get annual check-ups
ovarian
and to get annual check-ups
with ancancer
obstetrician/gynecologist
you trust.
with an obstetrician/gynecologist you trust.
If you experience any of the following,
If you
experience
any ofignore
the following,
listen
to your
body. Don’t
these
listen
to
your
body.
Don’t
ignore
these
symptoms. If they persist for more
than two
symptoms.
theydoctor!
persist for more than two
weeks – seeIfyour
weeks – see your doctor!
• Vague, but persistent and unexplained
• Vague,
but persistent
and unexplained
gastrointestinal
complaints,
such as gas,
gastrointestinal
complaints,
such as gas,
nausea or indigestion
nausea or indigestion
• Abdominal bloating
• Abdominal bloating
• Unexplained weight loss or gain
• Unexplained weight loss or gain
• Unusual fatigue
• Unusual fatigue
• Shortness of breath
• Shortness of breath
• Unexplained change in bowel or
• Unexplained
urinary habitschange in bowel or
urinary habits
If you or someone you know has already
If
or someone
you know
hasbe
already
been you
diagnosed
with ovarian
cancer,
sure to
been
diagnosed
with
ovarian
cancer,
be
sure to–
ask for a referral to a gynecologic oncologist
ask
for a referral
a gynecologic
oncologist
a physician
whotospecializes
in cancers
of the–
areproductive
physician who
specializes
in
cancers
of
organs. Research shows thatthe
reproductive
organs.
Research
shows that
treatment by a gynecologic
oncologist
is
treatment
by
a
gynecologic
oncologist
is
one of the top factors in increasing survival
one
ofasthewell
topasfactors
in increasing
survival
rates,
decreasing
rates of ovarian
rates,
as
well
as
decreasing
rates
of
ovarian
cancer recurrence.
cancer recurrence.
To learn To
more,
visit
woca.net
learn
more,
visit
To learn more,
visit
woca.net
Wisconsinovariancancer.com
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Age _______
� Male � Female
Age _______
� Male � Female
Check one: � 5K run � 2 mile walk
Check one: � 5K run � 2 mile walk
Adult T-shirt Size (check one): � S � M � L � XL
M $2)
� L � XL
Adult T-shirt Size (check one): �
� SXXL�(add
� XXL (add $2)
Signature (parent/guardian) __________________________
Signature (parent/guardian) __________________________
The
Ovarian
Cancer
TheWisconsin
Badgerland
Striders
The Wisconsin Ovarian Cancer
Alliance
proudly
presents
proudly
presents
Alliance
proudly
presents
the 3rd annual
the 3rd annual
MILWAU
KEE AV
E.
IL AUK
WAM
UWW
ATOSAEE AVE.
E
H
WIG
AUHWSACTHOO AST
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CHOOL
.
(First name, last name)
Ovarian cancer
Ovarian cancer
is often called a
is often called a
“disease that whispers.”
“disease that whispers.”
N. GN
L. EGNLE
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NV
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PARTICIPANT #2
PARTICIPANT #2
Name __________________________________________
Name
__________________________________________
(First name,
last name)
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CUT
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Entry Form continued
Entry Form continued
Map and Directions
Map and Directions
Nancy’s Run, Rock & Stroll will be held at Wauwatosa
Nancy’s
Run,
Rock 7500
& Stroll
will be held
at Wauwatosa
East High
School,
Milwaukee
Avenue,
Wauwatosa.
East High School, 7500 Milwaukee Avenue, Wauwatosa.
Driving directions
Driving directions
Take US-45 to Watertown Plank Road.
Take US-45 to Watertown Plank Road.
Take eastbound ramp. (Watertown Plank Road becomes
Take
eastbound
ramp. (Watertown Plank Road becomes
Harwood
Avenue.)
Harwood Avenue.)
Turn left on Harmonee Avenue.
Turn left on Harmonee Avenue.
Turn left on N. Wauwatosa Avenue.
Turn left on N. Wauwatosa Avenue.
Turn right on Milwaukee Avenue.
Turn right on Milwaukee Avenue.
Wauwatosa East High School is at
Wauwatosa
East High
School is at
7500 Milwaukee
Avenue.
7500 Milwaukee Avenue.
2008
2009
2008
at
at
A 5K run
A 5K run
2 mile fun walk
2 mile fun walk
Children’s Race
Children’s
Race
Saturday, September 6, 2008
Saturday,September
September 6,
2008
Saturday,
12,
2009
Wauwatosa East High School
Wauwatosa
East High
HighAvenue
School
Wauwatosa
East
School
7500 N. Milwaukee
7500
N.
Milwaukee
Avenue
7500 N. Milwaukee Avenue
5K Certified Run or 2 Mile Fun Walk:
5K
Certified Run
or 22Mile
MileRun
FunWalk:
Walk:
5:30
5K Certified Run
or pm
5:30
pm
5:30
pm 4:00 pm
Children’s
Race:
Children’s
Race:
4:00
pm
Children’s
Race:3:30
4:00pm
pm
Registration:
Registration: 3:30
Registration:
3:30 pm
pm
This fast, downhill course goes through Menomonee
This
downhill
course goes
through Menomonee
Riverfast,
Parkway,
finishing
in downtown
Wauwatosa
River
Parkway,
finishing
in
downtown
Wauwatosa
This
event
benefits
at the heart of the
very
popular
TosaFest. Stick
around
at
thefor
heart
the
very popular
TosaFest.
Stickand
around
Wisconsin
Ovarian
Cancer
Alliance
is
after
liveofentertainment,
free
refreshments,
games,
held
in
memory
of
Nancy
Niese.
after
for
live
entertainment,
free
refreshments,
games,
awards and lots of fun!
awards and lots of fun!
funding and advocacy.
forInaLoving
day of
fun and
Memory
In In
Loving
Loving
Memory
Memory
helpInmake
a
difference!
Loving Memory
To To
Register
Register
Register
early!in this brochure, or register online at
Use Register
the form
To
Use
Use
the
form
the form
this
inbrochure,
this
brochure,
brochure,
register
or register
online
online
badgerlandstriders.org.
Use
the form
ininthis
ororregister
online
atat at
badgerlandstriders.org.
Use badgerlandstriders.org.
the form in this brochure, or register online at
badgerlandstriders.org.
Individual – $17 until August 29
Awards
badgerlandstriders.org.
Individual
Individual
– $17
– $17
until
until
August
29 29
$20
on
race
dayAugust
• Overall male
female
Individual
–$17
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$20and
on
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onSeptember
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day
Individual
– $17
August
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–
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Forms can forms
be picked
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Additional
are- available
at
on
race
day forms
Additional
Additional
registration
registration
forms
are
available
are available
at at
- 69
Fleet FeetStore:
Sports (17550 W. 60
Bluemound
Road,
Running
Fleet
Fleet
Feet
Sports
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(17550
(17550
W. 70+
Bluemound
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Additional
registration
forms
are
available
at Road,
262-786-7463)
and
Fox
World
(four
10903
W. Feet
Lincoln
Ave.
Milwaukee,
WI
262-786-7463)
262-786-7463)
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Travel
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(four
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held near
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locations;
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visit
visit
foxworldtravel.com).
262-786-7463)
andfoxworldtravel.com).
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T-shirts
are guaranteed
all
pre-registered
following
the
race.
Toimmediately
volunteer
to obtainfor
extra
forms,
call Race
locations;
visitorfoxworldtravel.com).
participants.
Availability
limited
on
race
day.Race
To
volunteer
To
volunteer
or
to
or
obtain
to
obtain
extra
extra
forms,
forms,
call
call
To
Register
Director Valerie Nolin at 414-403-3524
orRace
e-mail:
Director
Director
Valerie
Valerie
Nolin
Nolin
at
414-403-3524
at
414-403-3524
or
e-mail:
or e-mail:
To
volunteer
or
to
obtain
extra
forms,
call
Race
[email protected]
Use
the form in this brochure, or register online at
[email protected]
[email protected]
Director
Valerie Nolin at 414-403-3524 or e-mail:
badgerlandstriders.org.
Race packets can be picked up in advance at Fleet
[email protected]
Race
packets
packets
can be
canpicked
be 3picked
up inupadvance
in advance
at Fleet
at Fleet
FeetRace
Sports,
September
- 5.
Individual
– September
$17
until August
Feet
Feet
Sports,
Sports,
3 - 5.
3 -29
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Race
packets
can September
be picked
up
in
$20 on race dayall pre-registered
T-shirts
are guaranteed
Feet
Sports,
September for
3 - 5.
T-shirts
T-shirts
are guaranteed
are
guaranteed
forlimited
all
forpre-registered
allon
pre-registered
participants.
Availability
race
day.
Families
– $50
forAvailability
families
of up on
to 4race
members
participants.
participants.
Availability
limited
on
race
day. day.
T-shirts
are guaranteed
for
alllimited
pre-registered
until August 29 ($17 for each
Register early!
participants.
Availability limited on race day.
Register
Register
early!
early! family
Alladditional
proceeds
benefitmember)
the Wisconsin
Register
early!
$60Cancer
for families
of upor
to WOCA.
4 members
Ovarian
Alliance,
Awards
on race
day
WOCA
is a non-profit
organization
Bring the family out
for a day of fun and
Register
early! a difference!
help make
Awards
Awards
dedicated
to
cancer
Additional
registration
forms
areovarian
available
at
Award
forovercoming
overall
male
and prize
female
•• Special
Overall
male
and
female
$50
cash
Awards
All proceeds benefit the Wisconsin
Ovarian Cancer Alliance, or WOCA.
WOCA
is a non-profit
organization
Nancy’s Run,
Rock & Stroll
is held each
Nancy’s
Nancy’s
Run,
Run,
Rock
Rock
&
Stroll
&
Stroll
is held
is
held
eacheach
year in memory
of Nancy ovarian
Niese,
a cancer
former
dedicated
to overcoming
year
year
in
memory
in
memory
of
Nancy
of
Nancy
Niese,
Niese,
a
former
Nancy’s
Run,
Rock who
&
Stroll
held
Badgerland
Strider,
lost is
her
life each
toa former
through
education,
support,
research
Badgerland
Badgerland
Strider,
whoat
who
lost
her
lost
her
to
life to
year
in memory
of2005
Nancy
Niese,
aofformer
ovarian
cancer
inStrider,
the
agelife
64.
funding
and advocacy.
ovarian
cancer
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in 2005
in
2005
atlost
the
ather
age
thelife
of
age64.
of 64.
Badgerland
who
to
Thisovarian
event
isStrider,
held
to
raise
awareness
and
This
This
event
event
is
held
is
held
to
raise
to
raise
awareness
awareness
and
ovarian
cancer
in
2005
at
the
age
of
64.
promote education about ovarian cancer.and
promote
promote
education
education
about
ovarian
ovarian
cancer.
cancer.
This
event
is held
toabout
raise
awareness
and
promote
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•• Awards ceremony to be held
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T-shirts
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all
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immediately
immediately
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race.
the
race.
• Awards
ceremony
to belimited
held
near
finishday.
line
participants.
Availability
on
race
immediately following the race.
Register early!
2009
Special TosaFest
Special
Special
TosaFest
TosaFest
Children’s
Races!
Special
TosaFest
Children’s
Children’s
Races!
Races!
Special TosaFest
children’s
races, starting
Children’s
Races!
Special
Special
TosaFest
TosaFest
children’s
children’s
races,
races,
starting
starting
at 4:00 pm in the Wauwatosa East High
Special
TosaFest
races,
starting
at
4:00
at 4:00
pm
pm
in field.
the
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the
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at
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the
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soccer
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Awards
Awards
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given
to
all
to all
children who finish.
School
soccer
field.
Awards given to all
children
children
whowho
finish.
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- ¼ mile
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who
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age
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participants who have given their time and donations.
Children’s
Races!
This
event would
not be possible
without
your support.
Survivors
please
Additional
registration
forms
are available
at
meet atW.theBluemound
Fleet Feet
Sports (17550
Road,
Special
TosaFest
children’s
races, starting
andWauwatosa
Fox World
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table
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in the
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locations;
visit
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picture.
School soccerfor
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children
whoorfinish.
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to obtain extra forms, call Race
at 414-403-3524 or e-mail:
•Director
Under Valerie
age 6 -Nolin
¼ mile
[email protected]
• Ages 7-12 - ½ mile
Race packets
canmust
be picked
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at Fleet
NOTE:
Parent
be present
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This
fast,
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course
Feet Sports,
September
5.
to sign
waiver3if- registering
on day
goes through Menomonee River Parkway,
of race.
finishing
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T-shirts
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limited
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day.
at the heart
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popular
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Special
Thanks
Stick around
after for live entertainment,
Register
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wouldearly!
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freewould
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lots
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fun!
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Badgerland Striders
This event would not be possible without your support.
and
Milwaukee County Parks.
Awards
• Overall male and female $50 cash prize
• 3 deep in each age group: 14 and under
15 - 19
20 - 29
30 - 39
� XL
Signature
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__________________________
3rd Annual
Nancy’s
Run Rock & Stroll
Nancy’s
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3rd Saturday,
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BadgerLand
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Nancy’s
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Entry
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Oak Creek,
WI
53154
Saturday, September 6, 2008
Entry
Entry
Form
Form
FEES
$17 individual/$50 family of 4
Fees
include
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INDIVIDUAL
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complete the run. I assume all risks associated with running in the event
Name __________________________________________
INDIVIDUAL
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contact with other participants, the
Total
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FEES
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Name
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name,
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effects
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representatives
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Address
_________________________________________
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City/State/Zip
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arising out of participation by me or any of my minor children in this
Phone (
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event.
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Ovarian Cancer Alliance, or WOCA.
All
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Ovarian
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T-shirts are guaranteed for all pre-registered
participants.
Availability limited on race day.
To Register
� CUT ALONG LINE AND INCLUDE FORM WITH PAYMENT
Nancy’s Run, Rock & Stroll is held each
year in memory of Nancy Niese, a former
Badgerland Strider, who lost her life to
ovarian cancer in 2005 at the age of 64.
This event is held to raise awareness and
All proceeds
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Wisconsin
promote
about
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cancer.
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Alleducation
proceeds
benefit
benefit
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Wisconsin
the Wisconsin
Adult T-shirt Size (check one): � S � M � L
� XXL (add $2)
� CUT ALONG LINE AND INCLUDE FORM WITH PAYMENT
Bring the family out
Bring
Bring
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the
family
family
out
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for
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day
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and
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��
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In Loving Memory
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