UPCOMING EVENTS
   

 

 


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    KOHEN’S FOUR MILE MONKEY RUN

APRIL 7th at 9 AM
 STARTS & ENDS AT KOHEN’S PARK
3138 HWY 321 N, WARD   (501) 765-0135 

 

FREE SHIRTS WILL BE GIVEN TO THE FIRST 100 PEOPLE WHO PROVIDE PAID REGISTRATIONS

$20.00 per person or $15.00 per person if you register 10 or more on the same form.

 ( Children 4 and under are free and do not count as registrations.  Shirts are available for this age for $10.00)

I understand that this event is a potentially hazardous activity and voluntarily assume all responsibility for the risk of any injury or accident which may occur during my participation. To the fullest extent of the law I, for myself, my next of kin, my heirs, administrators and executors hereby release and hold harmless and covenant not to file suit against Kohen’s Park, Kohen’s Park Foundation or Kohen’s Park L.L.C. In submitting this form, I certify that I am in good physical condition and am solely responsible for my personal health, safety and personal property and that of my participating minors.  Shirt sizes are YS, YM, YL, AS, AM, AL, AXL, A2X, A3X

 

Primary Contact Name:   Primary Contact Phone:  

Primary Contact Email: 

Participant Information:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

Name:   Date of Birth:   Shirt Size:

 

$20.00 per person or $15.00 per person if you register 10 or more on the same form.  You can submit your payment via Paypal on the following screen after submitting the reservation.