5K FUN RUN
Nutley Chamber of Commerce Proudly Presents Its Annual
5K FUN RUN - & KID’S FUN RUN -
Sunday May 1, 2016 a portion of the proceeds to benefit the
Nutley Family Service Bureau Food Pantry Please consider bringing a non-perishable, collection on site
Start: Entry Fees: Short Sprint: Kid’s Fun Run: Pre-Registration:
9:00am - Nutley Park Oval, corner of Franklin Ave. & Chestnut St. 5K: $25 before April 18 - $30 after April 18 8:40 am - $5 or FREE w/ adult registration (5 & under) 8:50am - $5 or FREE w/ adult registration (6-8 year olds) Mail or Walk in: 172 Chestnut St., Nutley, NJ 07110 10:00am - 2:00pm - Internet: www.active.com, www.compuscore.com Teams: Teams of 10 or more $20.00/pp Race Day Registration: 7:00am - 8:30am at the Nutley Park Oval Course Description: Slightly Challenging Awards: 5K: Trophies for 1st, 2nd, 3rd Over all - both Male and Female Following Categories (1st pl.): 14 & younger, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+ Short Sprint & Kid’s Fun Run: Prizes for All! New this year – Prize for largest team that pre-registers Race results available at www.compuscore.com - All 5K entrants receive a T-shirt and Complimentary Race Packet. - Water Stations on Course - Complimentary refreshments and bottled water For more information: 973.667.5300 or http://nutleychamber.com/events/5k-fun-run/ *DO NOT PARK ON VINCENT PLACE* --------------------------------------------------------------------------------------------------------------------------------------Official Entry Form – Nutley Chamber of Commerce 5K/Fun Run - to benefit the Nutley Family Service Bureau Rain or shine/non-refundable – Sunday May 1, 2016 – Entry form must be signed
Make check payable to: Nutley Chamber of Commerce, 172 Chestnut St., Nutley, NJ 07110
Name: _______________________________ Sex: __ Email: _______________________________ Address: __________________________ City: ____________________St: ______ Zip: __________ Phone: (____)___________ 5K: ___ Kid’s Fun Run: ___ Shirt Size: ___ Date of Birth: ___/___/___ Race Day Age: ___ Team Name:________________________ Would you like to donate an additional amount: yes/no
Amount:_____________
RELEASE: I know that running a road race is a potentially hazardous activity and that I should not enter unless I am medically able and properly trained. I agree to abide by any race official relative to my ability to safely complete the run. I assume all risks associated with running this event including but not limited to: falls contact with other participants, the affect of the weather, including low or high temperatures/humidity, traffic and the conditions of the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I myself and anyone entitled to act on my behalf waive and release the Nutley Chamber of Commerce, its officers, members, race volunteers, the Township of Nutley and its Departments and employees and all sponsors, their representatives, employees and successors from any and all claims and liabilities of any kind arising out of my participation in this event or carelessness of the persons named in this waiver. ___________________________________________________________________________________________________________ Signature Parent/Guardian Date
Register on line at www.active.com – www.compuscore.com
5K FUN RUN - & KID’S FUN RUN -
Sunday May 1, 2016 a portion of the proceeds to benefit the
Nutley Family Service Bureau Food Pantry Please consider bringing a non-perishable, collection on site
Start: Entry Fees: Short Sprint: Kid’s Fun Run: Pre-Registration:
9:00am - Nutley Park Oval, corner of Franklin Ave. & Chestnut St. 5K: $25 before April 18 - $30 after April 18 8:40 am - $5 or FREE w/ adult registration (5 & under) 8:50am - $5 or FREE w/ adult registration (6-8 year olds) Mail or Walk in: 172 Chestnut St., Nutley, NJ 07110 10:00am - 2:00pm - Internet: www.active.com, www.compuscore.com Teams: Teams of 10 or more $20.00/pp Race Day Registration: 7:00am - 8:30am at the Nutley Park Oval Course Description: Slightly Challenging Awards: 5K: Trophies for 1st, 2nd, 3rd Over all - both Male and Female Following Categories (1st pl.): 14 & younger, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+ Short Sprint & Kid’s Fun Run: Prizes for All! New this year – Prize for largest team that pre-registers Race results available at www.compuscore.com - All 5K entrants receive a T-shirt and Complimentary Race Packet. - Water Stations on Course - Complimentary refreshments and bottled water For more information: 973.667.5300 or http://nutleychamber.com/events/5k-fun-run/ *DO NOT PARK ON VINCENT PLACE* --------------------------------------------------------------------------------------------------------------------------------------Official Entry Form – Nutley Chamber of Commerce 5K/Fun Run - to benefit the Nutley Family Service Bureau Rain or shine/non-refundable – Sunday May 1, 2016 – Entry form must be signed
Make check payable to: Nutley Chamber of Commerce, 172 Chestnut St., Nutley, NJ 07110
Name: _______________________________ Sex: __ Email: _______________________________ Address: __________________________ City: ____________________St: ______ Zip: __________ Phone: (____)___________ 5K: ___ Kid’s Fun Run: ___ Shirt Size: ___ Date of Birth: ___/___/___ Race Day Age: ___ Team Name:________________________ Would you like to donate an additional amount: yes/no
Amount:_____________
RELEASE: I know that running a road race is a potentially hazardous activity and that I should not enter unless I am medically able and properly trained. I agree to abide by any race official relative to my ability to safely complete the run. I assume all risks associated with running this event including but not limited to: falls contact with other participants, the affect of the weather, including low or high temperatures/humidity, traffic and the conditions of the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I myself and anyone entitled to act on my behalf waive and release the Nutley Chamber of Commerce, its officers, members, race volunteers, the Township of Nutley and its Departments and employees and all sponsors, their representatives, employees and successors from any and all claims and liabilities of any kind arising out of my participation in this event or carelessness of the persons named in this waiver. ___________________________________________________________________________________________________________ Signature Parent/Guardian Date
Register on line at www.active.com – www.compuscore.com
