2014 Race Application .pdf

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Original filename: 2014 Race Application.pdf
Author: Rod Feather

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Liberty Days
5 K Run/Walk
Proceeds will benefit
The Garver Memorial YMCA

PRIZES
Trophies will be given
to the first three
overall male and
female finishers in the
5 K run. Medals will
also be awarded to the
first, second, and third
place finishers in each
age group for the 5 K
run and ribbons given
to all walkers.

Date: July 12, 2014

Time: 8:00 AM
Pre-register by: 07/08/14

Entry fees:
$18.00 for participants pre-registered by 7/8/14
$25.00 for post registered participants 7/9-7/14
$37.00 family registration, register by 7/8/14
Note: family– parents and children living in the
same household and children under the age of 18

Sponsors:
Appvion
Giant Eagle
Kenneth Stover Insurance
McDonalds
Nason Hospital
New Enterprise Stone and Lime
NPC
Morrisons Cove Rotary Club
Roaring Spring Bottling

Race starts and ends at the Garver
Memorial YMCA

For more information or to register
call:814 224-5101

Name
Mail form and entry fee to:
Entry fees are non-refundable

In consideration of your accepting my entry, I
hereby, for my heirs, my assigns, and myself release
the Garver Memorial YMCA, the sponsors of the
Liberty Days Run and the Liberty Days Run
Committee from any and all liabilities arising from
illness, injuries, or damages I may incur as a result
of my participation in the Liberty Days Run to be
held July 12, 2014. I agree that my name
subsequently may be used by the sponsors for
publicity purposes without obligation to me. I
certify that I am fit to participate in this event.

Address

Garver Memorial YMCA
820 Grove Street
Roaring Spring, Pa. 16673
Phone:(814)224-5101
Fax: (814)224-5103
Email: rodfeather@atlanticbb.net

Email:
Phone:
T-shirt Size: S
Sex :

M

M
F

L

XL

Signature

Date

Signature of parent or guardian if under 18 years of
age.

Date

Age on race day


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