Fall Into Fitness 5K Run/Fun Walk 2010 Ohio County Hospital
Transcription
Fall Into Fitness 5K Run/Fun Walk 2010 Ohio County Hospital
Sponsored by 2010 Ohio County Hospital Community Oxygen Door Prize Sponsors: Bennett Family Chiropractic, Petal Pushers, Little Stevie’s Pizza, Los Amigos Restaurante Mexicano Grill, AB&S Automotive, Flowerland Florist, Images Day Spa, Los Mexicanos Restaurante Angelic Gi Shop and Ohio County Family Care Race Course Description: Begin on Frederica Street at Family Wellness Center. Proceed up Frederica and take le on Old Main St. Turn right onto Render St. Turn right onto Clay St. Take Clay to a le onto Church Street. 1-Mile Mark - Apolostic Church . Proceed on Church St. to a le onto Oakwood Street. Make a le off Oakwood Street to Frederica Street. 2 Mile Mark – Water Tower. Proceed on Frederica street to a le on Clay. Make a right at McMurtrey. Turn Right onto Old Main Street. Go past the front of Ohio County Hospital and stay on Old Main back to the FWC. e race ends at the FWC parking lot. All proceeds to benefit Ohio County Family Wellness Center Fall Into Fitness 5K Run/Fun Walk Saturday, November 6th 5K Run - $15.00 with pre-registration or $20.00 day of race. Fun Walk - $10.00. Schedule Race Day registration begins at 7:00 am with race at 8:00 am Pre-registration and packet pick-up available from 6:00 pm to 8:00 pm at Family Wellness Center on evening before race on Friday, November 5th. Awards and Age Divisions All Run or Walk entrants are guaranteed a T-Shirt if registered by October 22nd. Door prizes will be presented during Awards Ceremony. Cash Prizes for Runners: First – ird Place Overall to both Male and Female First Place Master (40+) to both Male and Female First Place Overall Male and Female from Ohio County will win a one-year membership to the Family Wellness Center Other Prizes awarded to top three in age divisions both Male and Female Men: Women: 19 and under 19 and under 20-29 20-29 30-39 30-39 40-49 40-49 50-59 50-59 60 and Over 60 and Over Free Fit as a Fiddle Kid’s Run around 9:00 am Children 12 and under can participate in the Fit as a Fiddle Rune before award recognition and prize drawings. All children's race participants will receive prizes! Registration Please make checks payable to: Ohio County Hospital 5K Attn: Nicole King 1211 Old Main Street Hartford, KY 42347 Applications may be mailed to the above address. Participants can pick up registration forms at Ohio County Hospital or Family Wellness Center. Downloadable applications available on-line at www.ohiocountyhospital.com. If you need further information, please call (270) 298-5221 or nking@ohiocountyhospital.com Name: ____________________________________________________________________ Address: __________________________________________________________________ City: _____________________________________________________________________ State: __________ Zip: _______________________________________________________ Sex: ___________ Age on Race Day: ____________________________________________ Phone: (_______) ___________________________________________________________ T-Shirt size: XS S M L X XX (please circle) E-mail address: _____________________________________________________________ ❏ My first race ever! How did you learn about this race? ________________________ ❏ I am a 5K Runner ❏ 5K Walker LIABILITY WAIVER MUST BE SIGNED BEFORE MAILING OR FAXING: I know that running a road race is a potentially hazardous activity and that I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, 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, for myself and anyone entitled to act on my behalf, waive and release the organizers of the Ohio County Hospital Fall into Fitness 5K Run and Fun Walk and all other sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver. Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes. Signature: _________________________________________________________________ Parent/Guardian Signature (if minor) ____________________________________________ Date: ________________________