Rotary Fit 5K Presented by: The Rocky

Transcription

Rotary Fit 5K Presented by: The Rocky
Timer: Run Roanoke, LLC
October 25, 2014
Location: Waid Park in Rocky Mount, VA
Return Address
8:30AM start
Rocky Mount, VA 24151
Rocky Mount
P.O. Box 224
Rocky Mount Rotary Club
PLACE
STAMP
HERE
Rotary Fit 5K
Presented by:
The Rocky
Mount Rotary
Club
Rotary Club
5K Fit Run
email:
Phone:
Awards
Top 3 overall males and females will receive
an award
( Parent signature if under 18)
Age on Race Day:
For more information contact:
Greg James
Phone: 540-420-0345
EmaiL:[email protected]
Top 3 winners in each age group will receive
medals.
Birth Date:
To enter complete the attached
application and make checks
payable to:
Rocky Mount Rotary Club
P.O. Box 224
Rocky Mount VA
Age Groups:
Male and Female Categories:
9 and under/ 10-12/13-17/18-22/23-29/3034/35-39/40-44/45-49/50-54/55-59/60
and over
Address:
$25.00 before Oct. 1
(Performance shirt guaranteed
for those who register and pay
early)
$30.00 after Oct. 1
And race day
Packet Pickup-Friday October 24th 12-5 at
Haywood’s Jewelers
346 Franklin St. Rocky Mount, VA 24151
First Name:
Entry Fee:
Take route 40 West from Rocky Mount.
Take Right at 6 Mile Post Road. Entrance
approximately 1.5 miles on left.
Last Name:
Date: October 25, 2014
Time: 8:30AM start
Course: New 3.2 mile course at
Waid Park in Rocky Mount, VA
Course paid for with funds raised
by the Rocky Mount Rotary Club.
Ribbon Cutting at 8:00AM
Signature:
Directions:
Shirt Size:XSm Sm Med Lg Xlg XXL Mens sizes Performance shirts guaranteed if registered by 10/1/14
Time: 8:15AM
Assumption of Risk:
FREE 3/4 mile loop around soccer fields
I, the undersigned, do hereby waive and release myself, heirs, executors, and administrators, any and all rights and claims for damage, demands,
and any other actions whatsoever that I may have against Rocky Mount Rotary Club., Franklin County Parks, Recreation, and Tourism, volunteers, & all participants in this
event. I also acknowledge that I fully understand that there is a risk of injury or death in any sport and that I am physically fit and capable of competing in, and completing this
event. Further, I grant permission to The Rocky Mount Rotary Club. to use any photographs, motion pictures, or other recording of the event for legitimate purposes. In
addition, I understand there will be no refunds
Kids Fun Run 12 and under
Gender:: M F
Rocky Mount Rotary Club
Presents:
Rotary Fit 5K
Run/Walk/Kids Fun Run