jingle bell run
JINGLE BELL RUN 10K/5K RUN & 2K FUN WALK
YMCA RUN SERIES
Saturday, December 6, 2014 - 9:00 AM Kick off the holiday season with lots of jolly and spirited runners. Individuals, children, and families, of all fitness levels (and many sporting holiday costumes), will make their way through the streets of Downtown Port Huron on December 6, 2014. Join in the fun and don’t forget your bells. Prizes will be awarded! Want to kick-start your 5K training? Sign up for the Y’s Couch to 5K Program starting in October.
RACE INFORMATION
REGISTER TODAY Adult: $30 5/10K $35 5/10K
Starting Line: Outside the 3rd Street entrance of the YMCA of the Blue Water Area Time: 9:00 AM start Awards: Following the event at the Y Race Route: Along the beautiful St. Clair River and streets of downtown Port Huron Mail Entry: YMCA/ATTN: RUNS 1525 3rd St., Port Huron, MI 48060 Phone: (810) 987-6400 Online Regis: bluewaterymca.com/runs
early registration November 23rd or later
Youth 10K/5K: $15 5/10K early registration $20 5/10K November 23rd or later 2K Fun Walk: $20 T-shirt not guaranteed for late registration
Please Circle One: 2K
5K
10K
First Name ___________________________________________________________ Last Name ____________________________________________ ________________ MALE
FEMALE
Address _________________________________________________________________________City _______________________________________ _________State ______ Zip ______________ Phone ____________________________________________________________Email _____________________________________________________ __________________________________________ Age on Race Day _________ Date of Birth: _____/_____/_____ Emergency Contact/Phone ___________________________________________________________________ Please Circle Shirt Size: Adult
Small
Medium
Large
XL
XXL
XXXL
Youth
Small
Medium
Large
My check is enclosed – please make all checks payable to the YMCA of the Blue Water Area I want to pay by credit card: Visa MasterCard Discover American Express
Card Number _____________________________________________________________________________________________________________Exp. Date _______________/________________ Signature ___________________________________________________________________________________________________________________ _____ Date _______________________________ Parent/Guardian Signature if participant is under 18 - Signature indicates acceptance of waiver below
PARTICIPATION WAIVER I hereby state that I have conditioned myself to participate in the YMCA’s Jingle Bell Run/Walk. I for myself, my heirs, and the administration waive and release all rights and claims for damages I may have against the YMCA of the Blue Water Area, its officials, the sponsors, run timing services, run vendors and the City of Port Huron for any an all injuries suffered by me during the YMCA’s Run/Walk. Including any and all injuries, which may arise out of travel to, participating in, and returning from the YMCA’s Run/Walk. I attest that I am physically fit and have trained sufficiently for the completion of this event. I give permission for my picture to be taken and used in YMCA promotional materials.
YMCA RUN SERIES
Saturday, December 6, 2014 - 9:00 AM Kick off the holiday season with lots of jolly and spirited runners. Individuals, children, and families, of all fitness levels (and many sporting holiday costumes), will make their way through the streets of Downtown Port Huron on December 6, 2014. Join in the fun and don’t forget your bells. Prizes will be awarded! Want to kick-start your 5K training? Sign up for the Y’s Couch to 5K Program starting in October.
RACE INFORMATION
REGISTER TODAY Adult: $30 5/10K $35 5/10K
Starting Line: Outside the 3rd Street entrance of the YMCA of the Blue Water Area Time: 9:00 AM start Awards: Following the event at the Y Race Route: Along the beautiful St. Clair River and streets of downtown Port Huron Mail Entry: YMCA/ATTN: RUNS 1525 3rd St., Port Huron, MI 48060 Phone: (810) 987-6400 Online Regis: bluewaterymca.com/runs
early registration November 23rd or later
Youth 10K/5K: $15 5/10K early registration $20 5/10K November 23rd or later 2K Fun Walk: $20 T-shirt not guaranteed for late registration
Please Circle One: 2K
5K
10K
First Name ___________________________________________________________ Last Name ____________________________________________ ________________ MALE
FEMALE
Address _________________________________________________________________________City _______________________________________ _________State ______ Zip ______________ Phone ____________________________________________________________Email _____________________________________________________ __________________________________________ Age on Race Day _________ Date of Birth: _____/_____/_____ Emergency Contact/Phone ___________________________________________________________________ Please Circle Shirt Size: Adult
Small
Medium
Large
XL
XXL
XXXL
Youth
Small
Medium
Large
My check is enclosed – please make all checks payable to the YMCA of the Blue Water Area I want to pay by credit card: Visa MasterCard Discover American Express
Card Number _____________________________________________________________________________________________________________Exp. Date _______________/________________ Signature ___________________________________________________________________________________________________________________ _____ Date _______________________________ Parent/Guardian Signature if participant is under 18 - Signature indicates acceptance of waiver below
PARTICIPATION WAIVER I hereby state that I have conditioned myself to participate in the YMCA’s Jingle Bell Run/Walk. I for myself, my heirs, and the administration waive and release all rights and claims for damages I may have against the YMCA of the Blue Water Area, its officials, the sponsors, run timing services, run vendors and the City of Port Huron for any an all injuries suffered by me during the YMCA’s Run/Walk. Including any and all injuries, which may arise out of travel to, participating in, and returning from the YMCA’s Run/Walk. I attest that I am physically fit and have trained sufficiently for the completion of this event. I give permission for my picture to be taken and used in YMCA promotional materials.
