Winter Sun Run - Sportspectrum

Transcription

Winter Sun Run - Sportspectrum
The Louisiana Iota Chapter of Alpha Epsilon Delta
Presents:
THE SIXTH ANNUAL
Winter Sun Run
Come out and help the Alpha Epsilon Delta of LSUS raise money and awareness for the
Pool of Siloam Medical Ministry.
When: Saturday December 1, 2012 at 8:30 AM
Where: LSUS HPE Building
Entry Fee:
Pre-registration:
$15.00
After Novem ber 20 th : $20.00
Day of Registration:
$25.00
You may register by mail or by dropping off your entry at Sportspectrum with CASH or CHECK ONLY. ALL
CREDIT CARD registration must be online @ www.sportspectrumusa.com.
Sportspectrum’s location: 6970 Fern Ave., Shreveport, LA 71105.
Participants Receive: All pre-registered participants will receive a long sleeve 100% cotton event T-shirt.
Prizes will be awarded according to gender and by age.
Race Day Registration & Check-In: Race day registration is from 7:30-8:15 am. You may also pick up your
packet early at Sportspectrum starting Thurs., Nov. 3rd from 12:00pm-7:00pm and Fri, Nov. 4th from 10:00am5:30pm or at Race site Saturday. Race site pick-up is behind LSUS HPE building.
Age Categories: Male and Female 5k: 18 and below; 19-29, 30-39, 40-49, 50+
Post-Party: Stick around for some refreshments and music, and you can’t leave before the awards!
If you are interested in sponsoring our race, please contact Nancy Ly by e-mail at [email protected]
Waiver & Release In consideration of my being admitted to the Hustle for your AED Winter Sun Run, I, for myself, my heirs and assigns, executors and
administrators, do hereby forever release and discharge Sportspectrum, AED, LSUS, Sportspectrum Race Management, & all other sponsors their employees and
agents, of and from any and all claims of demands for damages of liability in any manner arising out of participation in such event. I certify that I have prepared myself
for this event and that I am in adequate physical condition to compete in this event. I agree to follow all rules of this race, and I permit myself to be removed from the
competition if in the opinion of the Race Administrators my continuing would endanger my health. For further information call Sportspectrum at (318) 798-1241
Winter Sun Run 5k & Health walk ENTRY FORM
December 1, 2012
Last Name_____________________________________ First Name___________________________________
Address______________________________ City________________________ State_____ Zip ____________
Sex (Circle One): Male or Female
Email: ___________________________________________________
Date of Birth: ___/___/____ T-shirt Size (Circle One): YM S
M
L
XL
(XXL add $2.00)
I understand and agree to all conditions of waiver. Signature___________________________________________
Parent/Guardian Signature if under 18 years old_____________________________________________________