Transcript OLSH
OLSH 5th ANNUAL KICK OFF FUN RUN and WALK (1.6 K) application Date and time: Thursday June 18, 2015, 6:00PM SHARP Location: Our Lady of the Sacred Heart Parish 3148 Abbott Road, Orchard Park , N.Y. Rectory 824-2953 (M-F 9-5) Awards: 5K: 1st overall MALE 1st overall FEMALE 5K: AGE GROUPS, MALE & FEMALE (PROPORTIONAL) 14 & under • 15-19 • 20-24 • 25-29 • 30-34 • 35-39 • 40-44 • 45-49 • 50-54 • 55-59 • 60-64 • 65-69 • 70-74 • 75-80, 80+ Walkers male/female 1st, 2nd, 3rd REGISTRATION IN WHITE SCHOOL Post-race party and FREE t-shirt for the first 200 registered runners PACKET PICK-UP for PRE-REGISTERED RUNNERS/WALKERS on 6/17 4-7 pm WHITE SCHOOL 5K route Timing by: WNY Finish Line Services Course attendants will frequent the course. Water stops and post race refreshments. Post race party immediately following the race. Party will feature the awards ceremony, music (ROADRUNNERS BAND) and plenty of food, pop and beer and will be available for purchase for non-participants. Start/finish Note: walkers will follow a modified route COMPLETE FORM BELOW, CUT AT LINE AND RETURN WITH PAYMENT TO: Our Lady of the Sacred Heart PLEASE COMPLETE ENTIRE APPLICATION OR YOUR RESULTS WILL NOT BE ACCURATE , PLEASE Get your race application online! Visit www.buffalorunners.com to download a pdf of the race application. Name ___________________________________________________ PRINT!!! OLS H ___________Age (day of race) ______ Date of birth _________ Address _____________________________________________________________ City / State / Zip ___________________________________ Check all applicable: ______ Male __________ Female PHONE ______________________ ______ Early bird before 5/1 Adult runner______ $12 ______walkers $10 ______ 5K Adult ($15, after 5/1, $20 day of race) ______ 5K child under 14 ($12 after 5/1, $15 day of race) ______ Walkers ($12 after 5/1, $15 day of race) T-shirt __ M __L __XL I am participating at my own risk and waive all claims of every nature against the organizers, officials, sponsors and any other participating agencies with respect to any personal loss, illness, bodily injury or death resulting from participating in these activities. I also fully understand the rigors of such competition and have prepared myself physically for the race. At the time of registration, I will inform the race organizers regarding any relevant medical condition. I agree to follow the rules which govern road racing. I, the undersigned, have read the above waiver and release, and understand that I have given up substantial rights by signing it, and sign voluntarily. Signature____________________________________________ Date__________________ Parent signature______________________________________ (if under 18 years of age) Date_________________