5K Brochure - LI2Day Walk

Transcription

5K Brochure - LI2Day Walk
HOPE RUNS HERE
AWARDS
• Top Male (Overall)
• Top Female (Overall)
• Top Male & Top Female Masters Division
• Top Male & Top Female Wheelchair Division
• Cancer Survivor (other than Breast Cancer) (Top 3 Overall)
• Breast Cancer Survivors (Top 3 Overall)
• Top Three Males & Three Females in the following
age groups: Under 10, 10-14, 15-19, 20-24, 25-29;
30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69,
70-74, 75-79, 80-84, 85-89, 90+
• ALL Cancer survivors to be recognized
5K BREAST CANCER RUN
is made possible because of:
Join us for the
6th Annual
HOPE RUNS HERE
5K BREAST CANCER RUN
IN LOVING MEMORY OF BONNIE LEVINE
RACE AMENITIES
• High-quality technical, commemorative shirts
• Post-race refreshments
• Great post-race raffles (Must be present to win)
SUNRISE
EVENT ANNOUNCEMENT
RACE ANNOUNCER - Terry Bisogno, “the Voice
of Long Island running and racing” will bring you
across the finish line.
Saturday, August 20, 2016
Start time 8:30am
5 Kilometers (3.1 Miles)
TIMING & SCORING
Nikita Dorcinvil and the JustFinish.Net team will
provide computerized timing & scoring using the
RFID Timing System with disposable chip attached
to your bib number. Results will be online at
JustFinish.Net within 24 hours after the run.
Westfield Sunrise Mall
1 Sunrise Mall, Massapequa, NY 11758
For more information or to register:
LONG ISLAND
WWW.HOPERUNSHERE.ORG
Great Raffle Prizes!
Airline voucher with Vacation
LONG ISLAND
(Destination TBD. Check website for trip announcement)
Flat Screen TV, Retail Gift Cards & More!
* For race participants only, must be present to win.
For more information or to register online, visit:
www.HOPERUNSHERE.org
Proceeds to benefit the LI2Day Breast
Cancer Walk, Inc., a 501(c)3 dedicated
to raising funds to support local Long
Island breast cancer coalitions. Visit
www.li2daywalk.org for more information.
HOPE RUNS HERE
6th Annual
HOPE RUNS HERE
5K BREAST CANCER RUN
IN LOVING MEMORY OF BONNIE LEVINE
5K BREAST CANCER RUN
IN LOVING MEMORY OF BONNIE LEVINE
DATE & TIME Saturday, August 20, 2016 ● 8:30am
LOCATION Westfield Sunrise Mall (BY SEARS)
1 Sunrise Mall • Massapequa, NY
Use Hemlock Street entrance. Park near Wal-Mart
on side closest to Sears Auto
THE COURSE A scenic 5K Run/Walk (3.1 miles)
through local neighborhoods.
ENTRY FEES
$25 Pre-Registration* • $30 Day-of-Race
MAIL ENTRY FORM WITH CHECK TO:
Hope Runs Here 5K Breast Cancer Run
P.O. Box 506 Nesconset, NY 11767
*Online registration closes 9:00am on 8/19/2016
CHECK-IN & RACE DAY REGISTRATION
7:00 - 8:15 AM • Check-in and/or register at the
sign-in tables by Sears at the finish line.
DIRECTIONS
From Brooklyn, Queens & Nassau: Take the Long
Island Expressway, Northern or Southern State Parkway
to Route 135 (Seaford-Oyster Bay Expressway),
south to Route 27 (Sunrise Hwy) east for three miles.
Entrances to Westfield Sunrise will be on the left.
From Suffolk County: Take the Long Island
Expressway, Northern or Southern State Parkway to
Rt.110, south to Route 27 (Sunrise Hwy) west for 1/4
mile. Westfield Sunrise entrances are on the right.
From the South Shore of Suffolk County: It’s an easy
trip on Sunrise Hwy (Route 27) west of Route 110.
Westfield Sunrise entrances are on the right.
Race Coordination made possible by:
The Greater Long Island Running Club and
the great Town of Oyster Bay for their support.
REGISTER ONLINE AT: WWW.HOPERUNSHERE.ORG
August 20, 2016
REGISTER ONLINE AT: WWW.HOPERUNSHERE.ORG
ENTRY, RELEASE & WAIVER OF LIABILITY FORM HOPE RUNS HERE 5K BREAST CANCER RUN
Make checks payable to: LI2DBCW
Mail to: P.O. Box 506 Nesconset, NY 11767 Attn: Hope Runs Here 5K
Name (First):
(Last):
Address:
City:
Phone #:(
Date of Birth:
)
/
Cell #:(
/
Age on 8/20/2016:
Male Shirt sizes: XS S M L XL 2XL
)
State:
Gender: M F
-
Breast Cancer Survivor? Y N
Female Shirt sizes: S
Zip:
M
L
Cancer Survivor? Y N
XL
2XL
Team Name:
E-mail address:
Additional contribution to benefit LI2DAY: $
PLEASE COMPLETE THIS ENTRY AND RELEASE AND WAIVER OF LIABILITY FORM, READ THE FOLLOWING STATEMENT, AND SIGN WHERE INDICATED: In
consideration of your accepting this entry, I, the undersigned participant, intending to be legally bound, do hereby for myself, and/or my child, and
for my heirs, executors, successors, administrators and assigns, hereby FULLY AND FOREVER WAIVE, RELEASE, HOLD HARMLESS AND COVENANT NOT
TO SUE LONG ISLAND 2 DAY WALK TO FIGHT BREAST CANCER, THE TOWN OF OYSTER BAY, WESTFIELD, LLC, SUNRISE MALL LLC, WESTFIELD AMERICA
LIMITED PARTNERSHIP, USATF all race sponsors, and their parents, partners, subsidiaries and affiliates, agents, employees, officers, representatives,
successors and assigns (collectively, “Event Sponsors”), from any and all liabilities, injuries, losses, claims, demands and causes of action of any
kind, arising out of or in connection with the Event, my and/or my child’s participation in the Event or use of any related facilities, WHETHER OR NOT
ARISING IN WHOLE OR IN PART OUT OF THE FAULT OR NEGLIGENCE OF ANY OF THE ABOVE MENTIONED ORGANIZATIONS OR INDIVIDUALS EVENT
SPONSOR. I UNDERSTAND THAT THIS IS A RELEASE AND WAIVER OF LIABILITY AND WILL PREVENT ME, MY CHILD OR MY HEIRS FROM FILING SUIT OR
MAKING ANY CLAIM FOR DAMAGES AGAINST ANY OF THE EVENT SPONSORS IN THE EVENT OF INJURY OR DEATH ARISING FROM MY PARTICIPATION
AND/OR MY CHILD’S PARTICIPATION IN THE EVENT. The undersigned participant attests and verifies that I AM, AND/OR MY CHILD IS, PHYSICALLY
FIT AND IS ABLE TO SAFELY PARTICIPATE IN THE EVENT, and that my and/or my child’s physical condition has been verified by a licensed Medical
Doctor or doctor of Osteopathic Medicine. The undersigned is FULLY AWARE OF THE RISKS AND HAZARDS INHERENT IN PARTICIPATING IN THE
EVENT AND HEREBY ELECTS TO VOLUNTARILY, AND/OR CONSENTS TO ALLOW HIS/HER CHILD TO, PARTICIPATE, knowing the risks associated with the
Event. The undersigned ASSUMES ALL RISKS OF LOSS(ES), DAMAGE(S), OR INJURY(IES) that may be sustained by him/her, and/or his/her child, while
participating in the Event. In the event that I file or my child or any legal representative files a claim or a lawsuit arising out of my participation and/
or my child’s participation in the Event against any Event Sponsor, I AGREE TO INDEMNIFY, DEFEND AND HOLD HARMLESS the Event Sponsors for
any damages, attorney’s fees or costs arising out of such a claim or lawsuit. Additionally, I agree that this release will be admissible into evidence.
Further, I hereby grant permission for the Long Island 2 Day Walk to Fight Breast Cancer to use photographs, videos, motion pictures, recording, and
any other record of this event for any purpose whatsoever.
Participant’s Signature
Date
If under 18 years old,
signature of parent or guardian
Date
If signed by a parent or guardian, the parent or guardian certifies that my son/daughter/ward has my permission to participate in the Event and
has read and understands the foregoing RELEASE AND WAIVER OF LIABILITY AGREEMENT FORM above and by signing intentionally and voluntarily
agrees to its terms and conditions. The participant’s parent/guardian further certifies that my son/daughter/ward is in good physical condition and
is able to safety participate in the Event.