Savannah Run
Savannah Run 5K Run/Walk – 1 Mile Run/Walk Saturday, September 25, 2015 Race Location: Yorktown Sports Park - 200 S 600 W Rd, Yorktown, IN 47396. Registration begins at 8am in the Parking Lot Course Description: Slightly hilly. Start at Yorktown Sports Park, travel down Tiger Drive to Morrows Meadows and back to the Yorktown Sports Park. Awards: Top three male and female receive medal Proceeds: Benefit the Savannah Posey Scholarship fund and DCFC Financial Aid Entry Cost information: $25 per person or $80 per family (all participants must live in same household) Make Checks to: DCFC (Savannah Run in memo line), 4319 W Clara, Muncie, IN 47304 Contact: Lynsey Weaver email- [email protected] Website: Race forms are also available online at www.dcfcsoccer.org . Results will be posted at same.
-----------------------detach here ----------------------SINGLE ENTRY SECTION -- PLEASE PRINT LEGIBLY Name_____________________________________________ Sex____ Age______ Address ____________________________________________________________ City, State Zip ________________________________________________________ Phone ___________________________ E-mail _________________________________________ SHIRT SIZE (circle One) YS YM YL SM M L XL NONE Waiver (MUST BE SIGNED) In consideration of your accepting this entry,I, the below signed, intending to be legally bound, for myself, my heirs,my executors and administrators, waive and release and any all rights and claims for damages I may have against the race, and sponsors and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest that I will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event. Furthermore, I hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I may appear for any legitimate purpose, including advertising and promotion.
Signature_________________________________________ Date___________________________ Parent or Guardian if under 18_____________________________________
-----------------------detach here ----------------------SINGLE ENTRY SECTION -- PLEASE PRINT LEGIBLY Name_____________________________________________ Sex____ Age______ Address ____________________________________________________________ City, State Zip ________________________________________________________ Phone ___________________________ E-mail _________________________________________ SHIRT SIZE (circle One) YS YM YL SM M L XL NONE Waiver (MUST BE SIGNED) In consideration of your accepting this entry,I, the below signed, intending to be legally bound, for myself, my heirs,my executors and administrators, waive and release and any all rights and claims for damages I may have against the race, and sponsors and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest that I will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event. Furthermore, I hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I may appear for any legitimate purpose, including advertising and promotion.
Signature_________________________________________ Date___________________________ Parent or Guardian if under 18_____________________________________
