Fall Into Fitness 5K Run/Fun Walk 2010 Ohio County Hospital

Sponsored by
2010
Ohio County Hospital
Community
Oxygen
Door Prize Sponsors:
Bennett Family Chiropractic, Petal Pushers,
Little Stevie’s Pizza, Los Amigos Restaurante Mexicano Grill,
AB&S Automotive, Flowerland Florist,
Images Day Spa, Los Mexicanos Restaurante
Angelic Gi Shop and Ohio County Family Care
Race Course Description:
Begin on Frederica Street at Family Wellness Center.
Proceed up Frederica and take le on Old Main St.
Turn right onto Render St. Turn right onto Clay St.
Take Clay to a le onto Church Street.
1-Mile Mark - Apolostic Church . Proceed on Church St.
to a le onto Oakwood Street. Make a le off
Oakwood Street to Frederica Street.
2 Mile Mark – Water Tower. Proceed on Frederica street to a le
on Clay. Make a right at McMurtrey. Turn Right onto Old Main
Street. Go past the front of Ohio County Hospital and stay on
Old Main back to the FWC.
e race ends at the FWC parking lot.
All proceeds to benefit
Ohio County Family Wellness Center
Fall Into Fitness
5K Run/Fun Walk
Saturday, November 6th
5K Run - $15.00 with pre-registration or
$20.00 day of race. Fun Walk - $10.00.
Schedule
Race Day registration begins at 7:00 am with race at 8:00 am
Pre-registration and packet pick-up available from 6:00 pm to 8:00 pm at Family
Wellness Center on evening before race on Friday, November 5th.
Awards and Age Divisions
All Run or Walk entrants are guaranteed a T-Shirt if registered by October 22nd.
Door prizes will be presented during Awards Ceremony.
Cash Prizes for Runners:
First – ird Place Overall to both Male and Female
First Place Master (40+) to both Male and Female
First Place Overall Male and Female from Ohio County will win a one-year
membership to the Family Wellness Center
Other Prizes awarded to top three in age divisions both Male and Female
Men:
Women:
19 and under
19 and under
20-29
20-29
30-39
30-39
40-49
40-49
50-59
50-59
60 and Over
60 and Over
Free Fit as a Fiddle Kid’s Run
around 9:00 am
Children 12 and under can participate in the Fit as a Fiddle Rune before award
recognition and prize drawings. All children's race participants will receive prizes!
Registration
Please make checks payable to: Ohio County Hospital 5K
Attn: Nicole King
1211 Old Main Street
Hartford, KY 42347
Applications may be mailed to the above address. Participants can pick up
registration forms at Ohio County Hospital or Family Wellness Center.
Downloadable applications available on-line at www.ohiocountyhospital.com.
If you need further information, please call (270) 298-5221 or
[email protected]
Name: ____________________________________________________________________
Address: __________________________________________________________________
City: _____________________________________________________________________
State: __________ Zip: _______________________________________________________
Sex: ___________ Age on Race Day: ____________________________________________
Phone: (_______) ___________________________________________________________
T-Shirt size: XS S M L X XX
(please circle)
E-mail address: _____________________________________________________________
❏ My first race ever! How did you learn about this race?
________________________
❏ I am a 5K Runner ❏ 5K Walker
LIABILITY WAIVER MUST BE SIGNED BEFORE MAILING OR FAXING:
I know that running a road race is a potentially hazardous activity and that I should not enter and run 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 the run.
I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants,
the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, 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, I, for myself and anyone entitled to act on my behalf, waive and release the organizers of the Ohio County Hospital
Fall into Fitness 5K Run and Fun Walk and all other sponsors, their representatives and successors from all claims or liabilities
of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver.
Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record
of this event for legitimate purposes.
Signature: _________________________________________________________________
Parent/Guardian Signature (if minor) ____________________________________________
Date: ________________________