Molly’s Mile & Pancake Breakfast
Fundraiser for the Molly Murphy Unicorn Foundation
A Fund of The Troy Foundation
9/3/2016 – The Eagles
715 E. Broadway, COvington
Molly Murphy was born on September 12, 2011 and tragically drowned on May 29, 2015. Her parents, Kerry and Sarah Murphy of Covington, started a foundation in her honor to help parents who have lost their children with burial expenses, including tombstones. Other children’s charities have also received donations from The
Molly Murphy Unicorn Foundation Fund.
Molly loved to play dress-up,so come ready to run/walk in your favorite costume! Princess, Superhero or whatever you want, maybe you’ll win!
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8:30 One MIle Run/Walk(Registration begins at 8:00am)

8-11am Pancake/Sausage Breakfast & Silent Auction

$15 Single $25 Couple $30 Family of 3 $40 Family of 4+

$$25

Breakfast, Run & T-shirts for All Registrants!

Costume Contest!


Registration Information:
Participant #1 Name: ______
Gender:______/ Age (race day): ______/ Phone Number: (___)______
Address: ______
Email Address: ______Shirt size (circle one): Youth: s m l Adult: s m L XL 2XL 3XL
Participant #2 Name: ______
Gender:______/ Age (race day): ______/ Phone Number: (___)______
Address: ______
Email Address: ______
Shirt size (circle one): Youth: s m l Adult: s m L XL 2XL 3XL
Participant #3 Name: ______
Gender:______/ Age (race day): ______/ Phone Number: (___)______
Address: ______
Email Address: ______Shirt size (circle one): Youth: s m l Adult: s m L XL 2XL 3XL
Participant #4 Name: ______
Gender:______/ Age (race day): ______/ Phone Number: (___)______
Address: ______
Email Address: ______Shirt size (circle one): Youth: s m l Adult: s m L XL 2XL 3XL
Participant #5 Name: ______
Gender:______/ Age (race day): ______/ Phone Number: (___)______
Address: ______
Email Address: ______Shirt size (circle one): Youth: s m l Adult: s m L XL 2XL 3XL

Run/Walk Waiver: In consideration of the acceptance of my entry, I, for myself, my executors, administrators and assigner, do hereby release and discharge The Fort Rowdy Festival Committee, The Molly Murphy Unicorn Foundation, other sponsors, volunteers, and race officials for all claims of damages, demands, actions, whatsoever in any manner, arising or growing out of my participation in said event.

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Signature (participant #1) Date

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Signature (participant #2) Date

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Signature (participant #3) Date

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Signature (participant #4) Date

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Signature (participant #5) Date

**If you have more than 5 people in your family, fill out and staple another form.