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2008

 

  Super Sponsors

 
  Mega Sponsors
Blue Chip Ice
Coca Cola
Jones, Rose, & Lawton
J.A. Riggs Tractor
Real Practices, INC.
Russellville Kiwanis Club
Tyson Foods

 

 

Fill out & Print 2 Copies of This Entry Form
  • Fill out the form below and check events that apply. 
  • Make sure your event will still let you register online!
  • Print 2 copies of Entire Entry Form before clicking Enter. 
  • Checks / Money Orders made payable to: BGCARV (Boys & Girls Clubs of the Arkansas River Valley)
  • Keep one Entry Form copy for your records then Sign and Mail one with registration fee to:
  • Valley Fest Entrant
    P.O. Box 1477
    Russellville, AR  72811
  • You are not officially entered until your Printed signed entry form and fees are received before events deadline!

 
Your Information, Events & Early Registration Fees:
Name:
E-mail Address:
Mailing Address:
City, State, Zip
Phone Number:
  5K Fun Run Walk $20.00 
  BBQ Competition: $100.00
  Bingo .50 per card (at park only )
  Cruisers Open Vehicle Show $20.00
  Fishing Derby: $2.00
  Hoop Shoot 3 on 3: $60.00
  Horseshoes: $10 single/$15 double
  Softball: $120.00 per team  *Include: Age, Men/Women's Team
  Tennis: $40.00
  Tour de Valley: $25.00 100K - 40 mile - 20 mile
  Tug-of-War: $50.00
  Volleyball: $75.00

Shirt Size:

Small (Youth)
Medium (Youth)
Large (Youth)
Sex:
  Additional Needed Comments:    
 
 

Waiver: I assume all risks associated with participating in an event at ValleyFest. All risk being known and appreciated by me.  Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive, hold harmless, and release the Old Post Park, Boys & Girls Clubs of the Arkansas River Valley, All Sponsors, Staff, Volunteers, Promoters, or any other person associated with the event, and their representatives and successors from all claims or liabilities of any kind, arising out of my participation in an event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Signature Required Below X______________________________________________
Signature Required on Printed Mailed In Entry form. If Under 18 years of age Guardian must sign

Enter security code.    

*Pressing "Enter" Only Notifies Boys and Girls Club that you will be mailing your signed  printed entry form and fee.

You are not officially entered until your printed signed entry form and fees are received before deadline!

  • Fill out the form above and check events that apply. 
  • Print 2 copies of Entire Entry Form before clicking Enter. 
  • Checks / Money Orders made payable to: BGCARV (Boys & Girls Clubs of the Arkansas River Valley)
  • Keep one Entry Form copy for your records then Sign and Mail one with registration fees to:

MasterCard Logo Will be accepted in person with an ID at the Boys & Girls Clubs Main Office located: 600 East 16th Street, Russellville

(479)968-7819
 

Copyright © 2007 Boys & Girls Club Russellville, AR.

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