Event: Run for Teddy 5K
Run for Teddy
Run for Teddy 5K
EVENT OVERVIEW
Date: Saturday, May 17, 2014
Time: 5K Run begins at 9:00; 1 mile fun run begins at 8:30am
Same day registration/ packet pick up begins at 7:00 am
Location: Harry Wright Lake, Whiting, New Jersey
Participation Fee: $25 includes a free T-shirt! $30.00 the day of the race
REGISTRATION INFORMATION
Will you be participating in the 5k______ or 1 mile fun run_______
Name: ____________________________________________________
Address: _______________________________________________________
Phone Number:_____________________
Email: ___________________________
Adult T Shirt Size (circle one): S M L XL
Registration form and check due by April 10, 2014 in order to guarantee t-shirt by event!
Please sign the waiver statement below:
I, the undersigned, in consideration of acceptance of the entry and registration as participant in The Run for Teddy 5K, waive any and all claims which I and my heirs or assigns may now or hereafter have against The Run for Teddy 5k, its members, Manchester Township, and all officials, volunteers and sponsors of The Run for Teddy 5K, which may indirectly or directly result from my participation in The Run for Teddy 5K. I further warrant and represent that I am in proper physical condition to participate in The Run for Teddy 5K and am not participating in this event against physician's advice nor am I taking medications which would impair my health or ability to participate in The Run for Teddy 5K. 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 or guardian if under 18) ____________________________________________ Date ____________________
Please complete the above information and send this form, along with your check made payable to The Teddy Adams Fund to:
Crystle Skinner
c/o The Teddy Adams Fund
1621 Pennsylvania Avenue
Whiting, NJ 08759
Please make a copy of this form for your records!
Questions? Contact Crystle Skinner at CrystleSkinner@yahoo.com
Run for Teddy 5K
EVENT OVERVIEW
Date: Saturday, May 17, 2014
Time: 5K Run begins at 9:00; 1 mile fun run begins at 8:30am
Same day registration/ packet pick up begins at 7:00 am
Location: Harry Wright Lake, Whiting, New Jersey
Participation Fee: $25 includes a free T-shirt! $30.00 the day of the race
REGISTRATION INFORMATION
Will you be participating in the 5k______ or 1 mile fun run_______
Name: ____________________________________________________
Address: _______________________________________________________
Phone Number:_____________________
Email: ___________________________
Adult T Shirt Size (circle one): S M L XL
Registration form and check due by April 10, 2014 in order to guarantee t-shirt by event!
Please sign the waiver statement below:
I, the undersigned, in consideration of acceptance of the entry and registration as participant in The Run for Teddy 5K, waive any and all claims which I and my heirs or assigns may now or hereafter have against The Run for Teddy 5k, its members, Manchester Township, and all officials, volunteers and sponsors of The Run for Teddy 5K, which may indirectly or directly result from my participation in The Run for Teddy 5K. I further warrant and represent that I am in proper physical condition to participate in The Run for Teddy 5K and am not participating in this event against physician's advice nor am I taking medications which would impair my health or ability to participate in The Run for Teddy 5K. 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 or guardian if under 18) ____________________________________________ Date ____________________
Please complete the above information and send this form, along with your check made payable to The Teddy Adams Fund to:
Crystle Skinner
c/o The Teddy Adams Fund
1621 Pennsylvania Avenue
Whiting, NJ 08759
Please make a copy of this form for your records!
Questions? Contact Crystle Skinner at CrystleSkinner@yahoo.com
Start Time: 7:00am EDT
Registration: Online Registration is Closed
Online Registration has Ended.
This is a service fee for processing your race application. This may be slightly higher or lower per registrant than the amount shown here.
