PCC`s 3rd Annual TRI-FUN-A-THON SATURDAY, MAY 3

Transcription

PCC`s 3rd Annual TRI-FUN-A-THON SATURDAY, MAY 3
PCC’s 3rd Annual TRI-FUN-A-THON
SATURDAY, MAY 3
Students Helping Students 5K, 1 Mile Fun Run/Walk & Disc Golf Tournament
Name: _________________________________________________
Address: _______________________________________________
City: ___________________________________________________
State: ____________________ Zip: __________________________
Student
Rate
q
5K Run-Walk
$25
$15
7:30 a.m. sign in/9:00 a.m. start
q
1 Mile Fun Run-Walk
$15
$15
7:30 a.m. sign in/8:30 a.m. start
$5 DISCOUNT - for groups of 10 or more (must register together)!
Day Phone: _______________________________ Sex: q F q M
Age (on May 3, 2014): _________
Non-Student
Rate
q
Disc Golf - Either 1 Day / 2 Round Tournament
E-Mail: _________________________________________________
Saturday at PCC’s Rockness Monster OR
Emergency Contact: ______________________________________
Sunday at PCC’s Rockness Monster & Beyond
Relationship: ____________________________________________
Emergency Contact #: _____________________________________
Shirt Size:
q Youth – M
q Adult – S
q Adult – M
q Adult – L
q Adult- XL
q Adult 2XL
T-Shirts for all participants registering before 4/22.
Check-in for all events near Building E at
Piedmont Community College’s Person County Campus
1 hour prior to event start.
q
$10 Rec League
$15 Intermediate
$20 Advanced
9:15 a.m. player meeting
Disc Golf - 2 Day / 2 Round Tournament—Add $5 to 1 Day Cost
Saturday at PCC’s Rockness Monster AND
Sunday at PCC’s Rockness Monster & Beyond
$ _______ Total Enclosed (Make checks payable to: PCC Foundation)
Awards for top athletes in 1 Mile, 5K and Disc Golf Tournament.
All pre-registered participants under 12 will receive a certificate!
Please Return Registration Form and Payment to:
PCC Foundation Tri-FUN-a-Thon, Post Office Box 1101, Roxboro, NC 27573
www.piedmontcc.edu/trifunathon
(336) 322-2102
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PCC Tri-FUN-a-Thon is sponsored by
Proceeds Benefit Students & Programs at PCC!