The 5thBC/XC Challenge
This 5-K
run/walk will be run at the
Where:
When: July 12, 2008 at 8:00 a.m.
Awards: Trophies will be awarded for the top
female and male runners and walkers.
The following age group winners will also receive a trophy: 0-14, 15-19 (2 for this age group), 20-29,
30-39, 40-49, 50-59, 60-69, & 70 and above.
DOOR PRIZES will be drawn for after the
race. You must be present to win.
Door Prize Items Include:
Name: ___________________________ Sex: M ( ) F (__) Age:_______
Address:
State: ____________ Zip:___________ Phone: ( _ )________________
All
proceeds will go to
Shirts
will only be guaranteed only for Pre-Registered Individuals
|
Entry Fees: Make Checks Payable to Brown |
||
|
Event (circle applicable items) |
Postmarked before June 29 |
Postmarked after June 29 |
|
5K Run (Cost is only for the Race/Walk) Short sleeve T-Shirt S M L XL |
15.00 |
18.00 |
|
Total Enclosed |
_______ |
_______ |
Mail to: Rob Abraham,
LIABILITY WAIVER:
I know that running a road race is a potentially hazardous activity. I should
not enter and run this event unless I am medically able and properly trained. I
agree to abide by any decision of a race official relative to my ability to
safely complete this event. I assume all risks associated with running in this
event including, but not limited to: falls, contact with other participants,
the effects of weather, including high heat and/or humidity or lightning, the
conditions on the course, all such risks being known and appreciated by
me. Having read this waiver, and
knowing these facts, and in consideration of your accepting my entry in this
race, I, for myself and anyone entitled to act on my behalf, waive and release
Brown County School Corp., all race officials and volunteers, all sponsors, and
all their representatives and successors from all claims or liabilities of any
kind arising out of my participation in this event though liability may arise
out of negligence or carelessness on the part of the persons named in this
waiver.
Signature:_________________________________________ Date:____/_____/2008
Parent Signature if under 18 yrs._______________________________________ Date_____/_____/2008