5K Run Into Fun

To Benefit St. Raymond Regional School

DATE: SATURDAY, OCTOBER 18, 2003

WHERE: BEACH DRIVE & LINCOLN BLVD, NORTH CAPE MAY, NJ

(Click for Map)

START: 9:00 AM - 5K 8:30 AM 2 MILE FUN RUN/WALK

REGISTRATION: 7:30 - 8:15 AM (Please note cut off time for registration)

ENTRY FEE: $12.00 UNTIL 10/10/01 Long Sleeve T-shirts to first 125 Registered

$15.00 10/11/01 to day of race.

WALKING FAMILIES:$25.00 PER FAMILY (This includes 2 T-shirts)

AWARDS: Sweatshirt to top 3 Male/Female overall (5K only)

Medals to top 3 in each age group (5K):

14 & Under; 15 - 19;20 - 29;30 - 39;40 - 49; 50 - 59;60 and above

1 MILE FUN RUN/WALK: Medals to top 3 male/female overall.

Prize to the class with the most registered participants!

TO ENTER: Checks payable to: St. Raymond P.T.A.

Mail To: Run Into Fun @ St. Raymond's

679 Townbank Rd.

North Cape May, NJ  08204

RACE INFO:Susan Plaza (609) 884-2279  NO PHONE REGISTRATIONS ACCEPTED

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PLEASE CHECK ONE( ) 5K ( )  2 Mile Fun Run/Walk

Name:___________________________________________________________________________ Sex M ( )F ( )Age on race day _______________

(Please Print)

Mailing Address (no summer homes please):_______________________________________________________________________________________

City ________________________________________________________________________________State__________________________ Zip________________________

Phone ______________________________________________________________ Shirt Size: Child L Adult M L XL (CIRCLE ONE)

WAIVER, READ CAREFULLY AND SIGN IN CONSIDERATION OF YOUR ACCEPTANCE OF THIS ENTRY, I HEREBY, FOR MYSELF, MY HEIRS, MY EXECUTORS & ADMINISTRATORS, WAIVE ANY RIGHTS & CLAIMS FOR DAMAGES I MAY HAVE AGAINST THE SPONSORS, COORDINATING GROUPS & INDIVIDUALS ASSOCIATED WITH THE EVENT, THEIR REPRESENTATIVES, SUCCESSORS & ASSIGNS & WILL HOLD THEM HARMLESS FROM ANY INJURY SUFFERED IN THIS EVENT.ALSO, NONE OF THE ABOVE ARE RESPONSIBLE FOR THE LOSS OF PERSONAL ITEMS NOR ANY OTHER FORM OF AGGRAVATION IN CONNECTION WITH SAID EVENT. I HAVE BEEN WARNED THAT I MUST BE IN GOOD HEALTH TO PARTICIPATE IN THIS EVENT.I ALSO GIVE PERMISSION FOR FREE USE OF MY NAME & PICTURE IN ANY BROADCAST, TELECAST, OR PRINT MEDIA ACCOUNT OF THIS EVENT.

Signature ___________________________________________________________Parent Signature (under 18) __________________________________