5K Run/Walk - Sid Jacobson JCC
Transcription
5K Run/Walk - Sid Jacobson JCC
Non-Profit Org. US Postage PAID Permit No. 5 Roslyn, NY 11576 BUILDING STRENGTH FOR ALL Exercise and support counseling geared to the specific needs of cancer survivors. •Body Conditioning Sid Jacobson JCC 8th Annual 5K Run/Walk & Children’s Fun Run Benefitting FREE CANCER WELLNESS PROGRAMS at the JCC Sunday, June 8, 2014 9:00am Start (Rain or Shine) www.sjjcc.org/5K •Yoga •Zumba •Art Therapy •Full Day Retreat at Camp Jacobson • Start to Finish Corp • “Winning Time” computer chip technology Course: • USATF Certified course • 3.1 miles professionally timed by Start to Finish • Challenging course with rolling hills, yet manageable for all levels • Water stops and mile markers • Police-controlled route (Name on T-Shirt, Signage and in Event Publicity, 5 Entries to Race) Directions to Sid Jacobson JCC: Silver..........................................................................$360 Long Island Expressway to Exit 39N, Glen Cove Rd. North. Turn north onto Glen Cove Rd. Proceed approximately 2 miles to Northern Blvd./Route 25A. Turn left onto Northern Blvd. At the second traffic light turn left onto Forest Drive (East Hills Chrysler-Plymouth on corner) and bear left around the bend to the JCC. Bronze........................................................................$180 Mail Entries to: Sid Jacobson JCC Attn: Leslie Morris 300 Forest Drive East Hills, NY 11548 For More Information: Adrian Sadowski 516-484-1545, ext. 153 [email protected] (Name on Signage and in Event Publicity, 2 Entries to Race) (Name on Signage and in Event Publicity, 1 Entry to Race) Team Player................................................... Up to $180 ALL DONATIONS WELCOME Multiple sponsorships are available at each level. Please make your contribution payable to Sid Jacobson JCC. Name________________________________________ Address:_____________________________________ City _______________ State ______ Zip___________ Phone _______________________________________ Name to appear in publicity_____________________ Amount Enclosed______________________________ This sponsorship brochure printing donated by: Ristaprint, 131 Liberty Avenue, Mineola, NY 11501 516-746-2262 • RISTAPRINT.COM Logos may be submitted to [email protected]. Printing deadline is May 10, 2013. Phone number Team Captain Email Mail-in or online registrations must be received by May 24, 2014. Make checks payable to: Sid Jacobson JCC Mail registration form to: SID JACOBSON JCC, 300 FOREST DRIVE, EAST HILLS, NY 11548 Race Timing: Gold........................................................................... $500 SJJCC member Yes No Numbers and shirts may be picked up on June 8, from 7:30–9:00am at Sid Jacobson JCC in East Hills. NO NUMBER PICK-UP AFTER 9:00am! (Name on T-Shirt, Signage and in Event Publicity, 10 Entries to Race) Shirt Size (one): S M L XL Check In: Platinum................................................................. $1,000 If special needs, please check here Needs to have 1:1 aide provided • sjjcc.org/5K • Active.com • register.start2finish.com FREE race t-shirts FREE food and refreshments Raffles for great prizes FREE childcare service (Children’s Fun Run Naming Sponsor, Name on T-Shirt, Signage and in Event Publicity, 15 Entries to Race) Running Walking Online Registration: • • • • Children’s Fun Run Sponsor............................. $5,000 Age on Date of EventDate of BirthSex M F Team Name • ¼ mile for kids 10 and under • Awards to all Amenities: (5K Run/Walk Naming Sponsor, Name on T-Shirt, Signage and in Event Publicity, 20 Entries to Race) Tel. #Email Children’s Fun Run (FREE): 5K Run/Walk Sponsor...................................... $10,000 City/State/Zip Children’s Fun Run—9:00am (RAIN OR SHINE) 5K Run/Walk–9:30am (RAIN OR SHINE) • Overall male and female winners • First three male and first three female age-group finishers: 14 and under, 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 and over • First male and female special needs finishers Sponsorship: Street Address Start: Awards: Last NameFirst Name Pre-registration (must be received by May 24 via email, online or in person)................... $18 per person Registration (received after May 25)...... $25 per person ENTRY FORM Entry Fees: Middle Initial Sunday, June 8, 2014 Signature (all applicants must sign. If under 18, signature of guardian or parent): 8th Annual 5K Run/Walk & Children’s Fun Run I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, hereby waive, release and hold harmless Sid Jacobson JCC, sponsors and all persons associated with this event and their agents, employees, representatives, successors and assigns, from any and all liabilities, claims, demands and causes of action whatsoever arising directly or indirectly from my participation in this event even if any such liabilities, claims, demands and causes of action arise in whole or in part out of negligence of any of the above-mentioned organizations or individuals. (If signed by a parent, the parent agrees to waive, release and hold harmless the above-mentioned organizations and individuals from any and all said liabilities, claims and causes of action which may be asserted on behalf of the entrant). I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and that my physical condition has been verified by a medical doctor. Further, I hereby grant permission to any and all of the above mentioned organizations and individuals to use any photographs, videotapes, motion pictures, recordings or any other record of this event and my participation in this event for any purpose whatsoever. To benefit Building Strength for All
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