SATURDAY, JULY 16 RICHARDSON POOL, SCHOFIELD

Transcription

SATURDAY, JULY 16 RICHARDSON POOL, SCHOFIELD
SATURDAY, JULY 16
RICHARDSON POOL,
SCHOFIELD BARRACKS
CHECK-IN STARTS AT 5:00 - 5:30 A.M.
RACE STARTS PROMPTLY AT 6:00 A.M.
(MEET AT RICHARDSON POOL SCHOFIELD BARRACKS)
RACE DIRECTOR:
Richard Kam
438-9572/655-0856
Email: [email protected]
ELIGIBILITY:
The Army 10-Miler will be open to all runners with post access
over the age of 16.
ACTIVE DUTY SOLDIERS ONLY.
This race is the qualifying event for active duty Soldiers that
will be selected to represent Team Army Hawaii in the Army Ten
Miler, Oct 9, 2016 in Washington D.C. The fastest soldiers will be
considered to represent Army Hawaii based on time standards.
Soldiers are required to submit their commander’s authorization
(back of flyer) to be considered for the team.
PACKET PICKUP:
Packets may be picked up at the Sports, Fitness, and Aquatics
Office - 730 Leilehua Ave, Bldg. 645 Room 2 on July 13 and 14
from 8 A.M. - 3 P.M. Should you miss one of these opportunities;
packets can be picked up on race day from 5:00- 5:30 A.M. at
the race site.
Kelsey Budge
655-9914
[email protected]
ENTRY FEE:
Pre Registration: $25 (Up to June 30, 2016 by 4 P.M.),
Late Registration: $40 (July 12, 2016 by 4 P.M.).
No registration accepted on race day. Registration and payments
will be accepted at the following sites:
Health and Fitness Center 655-8007
Martinez PFC
655-4804
Helemano PFC 653-0719
Tripler PFC
433-6443
Ft. Shafter PFC 438-1152
AMR PFC
836-0338
ENTRY FORM l 2016 HAWAII ARMY 10 MILER
Sex: oM oF
Date of Birth
Name (Last)
Age on Race Day
First
Middle
Organization / Unit
Rank
Contact Number:
Email
Check one:
Entry Fees:
oActive Duty oReserve oNational Guard
o$25 - Pre Registration
oRetiree
o$40 - Late Registration
oMilitary Dependent / Spouse
T Shirt (Adult Sizes)
oS
oM
oOther
oL
oXL
COMPLETE AND SUBMIT WITH THIS APPLICATION FOR CONSIDERATION TO REPRESENT
TEAM ARMY HAWAII IN THE ARMY TEN-MILER
LAST
FIRST
RANK
The 2016 Army Ten-Miler, October 9, 2016, in Arlington, Virginia. I understand that the anticipated departure of the team is
scheduled on October 6 and return October 10, 2016.
Unit Commander Name (Print)
Unit Commander Signature
UNIFORM SIZES :
Men Sizes:
Running shorts
Running singlet
Warm Up Jacket
Warm Up Pants
Women Sizes:
oS
oM
oL
oXL
oS
oM
oL
oXL
oS
oM
oL
oXL
oS
oM
oL
oXL
Running shorts
Running singlet
Warm Up Jacket
Warm Up Pants
oS
oM
oL
oXL
oS
oM
oL
oXL
oS
oM
oL
oXL
oS
oM
oL
oXL
CONDITIONS AND HOLD HARMLESS RELEASE
In consideration for being allowed to participate in the 2016 Hawaii Army 10 Miler Race Around Schofield I hereby agree to comply
with the rules for the event and hereby for myself, my heirs, and personal representatives, release the USAG-HI/Directorate of Family
and Morale, Welfare and Recreation, the United States Government, Race Officials and volunteers from liabilities or claims arising
from my own participation. I agree that I will never prosecute or in any way aid in prosecuting any demand, claim, or suit against
the United States Government (including the IMWRF and any officer, Agency, employee of the United States Government or IMWRF,
acting officially or otherwise) for any loss, damage, or injury to my person or property that may occur from any cause whatsoever
as a result of taking part in this activity. Further, I attest that I am physically fit for this event and will permit free use of my name
and picture(s) in related publicity and reports. I hereby consent to receive medical treatment which may be advisable in the event of
illness or any injury suffered by me during this event and authorize the release of information in relation to my condition.
Date:
Signature:
COA - DOUBLE LOOP ROUTE
2 Loops: Start/Finish Weyand Field. Trimble Rd, Humphreys Road and Lyman Rd will be needed for this route.
Parking / Staging Area: Richardson Pool and Weyand Field