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In memory of Abigail Kelley
 When - March 2, 2013 Time – 8:00 am
 Where - Begins and ends at the Courthouse in Canton, GA. (90 North St #                   Abigail’s Story
 260, Canton, GA)                                                             In 2007, at the age of 4, Abigail was
 Facebook Page: http://www.facebook.com/#!/events/378085515613889/            diagnosed with juvenile pilocytic
                                                                              astrocytoma- a form of pediatric brain
 Registration: Online at http://www.active.com/running/canton-ga/chasing-     cancer. Abigail fought a good fight until
                                                                              she got her wish to go home on June 18,
 cancer-away-5k-2013 through 02/28/13 or by mail to the address below.        2012.
 Pre-Registration is $25; Registration on the race day is $35.                To learn more about Abigail’s story, visit
                                                                              www.caringbridge.org/visit/abigailkelley
 Make checks payable to: Chasing Cancer Away 5K
  100% of net proceeds benefit Cure it for Kids – a nonprofit organization
 that funds pediatric brain tumor research at Children’s Healthcare of Atlanta.
                          Contact Information

                              John Campbell
                               P.O. Box 141
                         Ball Ground, GA 30107

                  ChasingCancerAway5K@gmail.com



Name:___________________________________ Age on Race Day:_____________                     ______Male      ______Female

Address:________________________________________ City: _________________ State: ________ Zip:____________

Phone:____________________________                Email:_____________________________________________________

Shirt Size: __S __M __L __XL __XXL (add $2.00) __YL (Pre-reg only!)

Registration Fee(s): $_________          Additional Donation: $________           = Total: $____________

In consideration of acceptance of this entry I waive any and all claims for myself and/or my heirs for any injuries I may
incur as a result of my participation in “Chasing Cancer Away 5K,” thereby releasing all sponsors and volunteers associated
with this event from liability. I understand that jogging/running is a strenuous sport and I further state that I am in proper
physical condition for this event.

Signature (parent or guardian if under 18):___________________________________             Date:__________________

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  • 1. In memory of Abigail Kelley When - March 2, 2013 Time – 8:00 am Where - Begins and ends at the Courthouse in Canton, GA. (90 North St # Abigail’s Story 260, Canton, GA) In 2007, at the age of 4, Abigail was Facebook Page: http://www.facebook.com/#!/events/378085515613889/ diagnosed with juvenile pilocytic astrocytoma- a form of pediatric brain Registration: Online at http://www.active.com/running/canton-ga/chasing- cancer. Abigail fought a good fight until she got her wish to go home on June 18, cancer-away-5k-2013 through 02/28/13 or by mail to the address below. 2012. Pre-Registration is $25; Registration on the race day is $35. To learn more about Abigail’s story, visit www.caringbridge.org/visit/abigailkelley Make checks payable to: Chasing Cancer Away 5K 100% of net proceeds benefit Cure it for Kids – a nonprofit organization that funds pediatric brain tumor research at Children’s Healthcare of Atlanta. Contact Information John Campbell P.O. Box 141 Ball Ground, GA 30107 ChasingCancerAway5K@gmail.com Name:___________________________________ Age on Race Day:_____________ ______Male ______Female Address:________________________________________ City: _________________ State: ________ Zip:____________ Phone:____________________________ Email:_____________________________________________________ Shirt Size: __S __M __L __XL __XXL (add $2.00) __YL (Pre-reg only!) Registration Fee(s): $_________ Additional Donation: $________ = Total: $____________ In consideration of acceptance of this entry I waive any and all claims for myself and/or my heirs for any injuries I may incur as a result of my participation in “Chasing Cancer Away 5K,” thereby releasing all sponsors and volunteers associated with this event from liability. I understand that jogging/running is a strenuous sport and I further state that I am in proper physical condition for this event. Signature (parent or guardian if under 18):___________________________________ Date:__________________