5K Run Registration Click Here - Rotary Club of Crescent City

Transcription

5K Run Registration Click Here - Rotary Club of Crescent City
Catfish 5K Color Rush
5k begins behind
Kangaroo on Prospect
and Junction
Saturday April 4, 2015 - 8:45 a.m.
Registration Form
Color Rush at Prospect
and Central
Full Name:
Gender: Male / Female (circle one)
Age: (on race day)
Activity (choose one):
5K Only
Color Run Only
Color Run/5K
Mailing Address:
City:
Phone: (
State/Province:
)
Zip/Postal
Email:
Shirt Size: (CIRCLE ONE) S
M
L XL 2XL
YS YM YL
EVENT INFORMATION: The Rotary of Crescent City is hosting its first COLOR RUSH in conjunction with the
5K. Proceeds from the event will go to support "Scholars for Dollars." The course taking you through
beautiful neighborhoods and the scenery of Lake Crescent includes an optional Color Rush along the route
where lobbed clouds of colored cornstarch transform runners’ outfits from white to rainbow amidst
sounds of high energy music. However, for the more serious runners, registered for the 5K Only, we have
race awards for the top male and female finishers ( three age groups 18-40, 41-59, 60+) and medals for other 5K
Only participants. Winners will be announced before the parade at Eva Lyons Park. All event participants age five
and older will receive a white t-shirt, race bib, sungasses and a color packet. Additional color packets may be
purchased for $2 per packet on site of Color Rush.
FOR MORE INFORMATION: 386-937-2021 or 386-467-9107
PARKING AND RUN START: Behind the Kangaroo located at S. Summit & Junction
Pay With
PayPal
PAYMENT: See
below
RACE FEE: individuals $25 until March 29. Families of 3 or more $20 each; children under 5 free. Race shirts will be
limited at late registration. Last late registrations will be taken from 8 a.m. to 8:30 a.m. race day at start line.
Please indicate payment method
ˆ Cash,
ˆ Check or ˆ Money Order payable and sent to:
Rotary Club of Crescent City, PO Box 483, Crescent City, FL 32112
EVENT DISCLAIMER: Please review the following waiver and disclaimer. By adding your signature, you
accept this waiver and disclaimer. Waiver and Release: By participating in this Event, I do so at my own risk. I assume
all risk of injury, illness, damage or loss to me or my property that might result, including without limitation, any loss or theft
of personal property. I consent to medical treatment in the event of injury, accident and/or illness during the Event. I agree on
behalf of myself (and my personal representatives, heirs, executors, administrators, agents and assigns) to release the City of
Crescent City, Rotary Club of Crescent City, St. John’s River Catfish Festival, and the sponsors and discharge the organizers of this
event, its principals, its officers & directors, its employees, representatives from any and all claims or causes of action (known or
unknown) arising out of their negligence. I acknowledge that I have carefully read this ‘Waiver and Release’ and fully understand
that it is a release of liability. By my signature below, I am waiving any right that I may have to bring legal action to assert a
claim against any and all Event sponsors for their negligence. I hereby grant full permission to any and all of the foregoing to use
my name and likeness in any broadcast, telecast, video or print media reporting or advertising of the Event without compensation.
I AGREE
Sign here:
rotaryclubcrescentcity.com
facebook.com/RotaryClubofCrescentCity
Print Form
Submit By Email