Homestead Days - Omaha Running Club

Homestead Days®
Homestead Days® 1-Mile Fun Run
2016 Entry Form
Name _______________________________________________
Address: ____________________________________________
____________________________________________________
Age: __________________________________________ M
F
Email: _______________________________________________
(Each participant must fill out a separate entry)
Entry Fees
Kids 12 & Under:
$8.00 with T-Shirt
13 & Over:
$10.00 with T-Shirt
Register by May 27, 2016 if a t-shirt is ordered. Registrations
will be accepted the day of the run.
Shirt Size:
Youth T-Shirt:
Adult T-shirt:
(6-8) SM (10-12) MED (14-15) LG
Small
Medium
Large
XL
I know that running a road race is a potentially hazardous activity. 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 condition of the road, as such
risks known and appreciated by me. Having read this wavier and knowing
these facts and in consideration of Beatrice Area Chamber of Commerce, the
City of Beatrice, all sponsors, their representatives and successors from claims
or liabilities of any kind arising out of my participation in this event though that
liability may arise out of negligence or carelessness on the part of the persons
named in this waiver. Further, I hereby grant full permission to any and all of
the foregoing to use photographs, videotapes, motion pictures, and recording
of my child, or any record of this event, for any legitimate purpose. I agree that
an adult may accompany my child during the run.
_____________________________________ Date: ______________
June 16-19, 2016
Events leading up to Homestead Days
Exhibits at Library
Homestead National Monument
of America
Exhibit at Museum
Bingo
Teen Night at Water Park
Naturalization Ceremony
Geo Caching
3rd Thursday Events
Events over the weekend
Fireworks
Parade
Fishing is Fun Clinic
5 K/10 K/ 1-Mile
Craft Vendors
Flea Market
Foam Party
Family Fun & Games at Park
Entertainers
Human Maze
Bicycle Rides
Fun Foods
Kids Fun Activities
Craft Demonstrations
Sidewalk Chalk Design Contest
Talent Contest
Horseshoe Tourney
Main Street Ribfest
Outdoor Movie
Classic & Street Rod Car Show
Something for Everyone!
Homestead Days® Planning Partners!
Participant Signature
_____________________________________ Date: ______________
Parent or Legal Guardian Signature (Must sign if participant is under 19 years of age)
Entry fee must be submitted with entry form and is non-refundable.
Cash
Check/Money Order
Visa
MasterCard
Make checks payable to: Beatrice Area Chamber of Commerce
Name on Card: _____________________________________________
Homestead
National Monument
of America
Card Billing Address: ________________________________________
Card Billing Zip Code: ________________________________________
Credit Card # _____________________________________________
_________________________________________________________
V-Code
Exp. Date
218 N 5th Beatrice, NE 402-223-2338
www.beatricechamber.com
Homestead Days® 10K/5K
& 1 Mile Fun Run
Saturday, June 18, 2016
6:30 AM Registration
7:15 AM 1 Mile Start
7:30 AM 10K/5K Start
Chautauqua Park, Beatrice, NE
Homestead Days® 10K & 5K Run/Walk
2016 Entry Form
2016 Homestead Days® 10K &5K Run/Walk
and 1 Mile Fun Run
Saturday, June 18, 2016, 7:30 AM
Chautauqua Park, Beatrice, NE
(Turn east on Grable Ave. just south of the Big Blue River bridge on
S. 6th St. (Hwy. 77) in Beatrice to enter Chautauqua Park.)
Please join us for the 2016 Homestead Days® runs in picturesque Chautauqua Park. All runs will start and finish near the
historic tabernacle in the park.
The 10K Race
An out-and-back course that will be run on the scenic Homestead Running Trail which will take runners along the tree-lined
banks of the Big Blue River and through both Chautauqua and
Riverside Parks in Beatrice. This is one of the most scenic
segments of the Homestead Running Trail!
The 5K Race
An out-and-back course on the Homestead Running Trail and
will take runners through Chautauqua Park and past Veterans
Memorial Park before the turn-around point along the banks of
the Big Blue River.
Awards & Post-Race Refreshments:
Fruit and cookies will be available under the tabernacle for participants at the conclusion of their race. The awards ceremony will be
held there as well, as soon as the results have been tabulated for the
races.
5K/10K Races
CHIP Timing:
All participants in the 5K/10K events will have chip timing!
Each race will have men’s and women’s divisions, and plaques will
be awarded to the first overall male and female runners in both the
10K/5K races. Medals will be awarded to the top three men and
women in each of the following age groups in both races:
12 and under
30-39
60-69
13-19
40-49
70 and over
20-29
50-59
Race Start & Other Information:
1 Mile Fun Run start time: 7:15 AM
5K/10K start time: 7:30 AM
Race day registration will take place at the Tabernacle from
6:30 AM to race time. Course maps for all races will be available at the registration tables.
Race numbers will be issued to all participants of the 10K/5K
upon registration and each participant will need to wear his/her
number on the FRONT of their clothing, so that it is visible to
race officials at the finish line. This will ensure that your time is
recorded and considered for age group awards. Water will be
provided for all on the course and at the finish line.
__________________________________________________
Address: _________________________________________________
_________________________________________________________
Phone: ___________________________________________________
Email: ____________________________________________________
Race Entered: 10K
5K
Date of Birth:_________________
Race Day Age: _____ Male Female
Shirt Size (High quality tech running shirt):
Small
Medium
Youth Medium
Large
X-Large
Youth Large
Entry fees:
With Race shirt:
$25 if received or postmarked on or before May 27th
$30 after May 30st
Without Race shirt:
$15 if received or postmarked on or before May 27th
$20 after May 31st
By entering this event, I hereby for myself, my heirs and executors, waive and
release any and all rights and claims for damage against the Beatrice Area
Chamber of Commerce, Complete Timing, City of Beatrice and all race officials, volunteers, and sponsors for any injuries suffered by me in connection
with this event. I further certify that I am in good enough physical condition to
participate in this event. Further, I hereby grant full permission to any and all of
the foregoing to use photographs, video tapes, motion pictures, and recording
of myself and my child, or any record of this event, for any legitimate purpose.
The 1 Mile Fun Run
Open to all ages. Prizes will be awarded to kids 12 and younger. The course is approximately 2.5 laps around the loop road
south of the tabernacle, providing plenty of opportunities for
spectators to cheer them on. Runners 6 & under can be accompanied by an adult.
Early Registration Packet Pick-Up:
Runners who have pre-registered are eligible to pick up their
race day packets on Thursday, June 16 from 5-8 PM at the
Carnegie Building, 218 N 5th Street, Beatrice, NE, 68310.
Name:
____________________________________ Date: ______________
Participant Signature
____________________________________ Date: ______________
After the awards ceremony, be sure to enjoy the many
other Homestead Days® activities taking place in
Chautauqua Park and in the Beatrice community!
Parent or Legal Guardian Signature (Must sign if participant is under 19 years of age)
Entry fee must be submitted with entry form and is non-refundable.
Cash
Check/Money Order
Visa
MasterCard
Make checks payable to: Beatrice Area Chamber of Commerce
Return Forms to:
Beatrice Area Chamber of Commerce
218 N. 5th Beatrice, Ne 68310
402-223-2338
info@beatricechamber.com
Total Enclosed: $ ______________
Name on Card: _____________________________________________
Card Billing Address: _________________________________________
Card Billing Zip Code: ________________________________________
Credit Card # ______________________________________________
_________________________________________________________
V-Code
Exp. Date