SATURDAY, JULY 16 RICHARDSON POOL, SCHOFIELD
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SATURDAY, JULY 16 RICHARDSON POOL, SCHOFIELD
SATURDAY, JULY 16 RICHARDSON POOL, SCHOFIELD BARRACKS CHECK-IN STARTS AT 5:00 - 5:30 A.M. RACE STARTS PROMPTLY AT 6:00 A.M. (MEET AT RICHARDSON POOL SCHOFIELD BARRACKS) RACE DIRECTOR: Richard Kam 438-9572/655-0856 Email: richard.t.kam.naf@mail.mil ELIGIBILITY: The Army 10-Miler will be open to all runners with post access over the age of 16. ACTIVE DUTY SOLDIERS ONLY. This race is the qualifying event for active duty Soldiers that will be selected to represent Team Army Hawaii in the Army Ten Miler, Oct 9, 2016 in Washington D.C. The fastest soldiers will be considered to represent Army Hawaii based on time standards. Soldiers are required to submit their commander’s authorization (back of flyer) to be considered for the team. PACKET PICKUP: Packets may be picked up at the Sports, Fitness, and Aquatics Office - 730 Leilehua Ave, Bldg. 645 Room 2 on July 13 and 14 from 8 A.M. - 3 P.M. Should you miss one of these opportunities; packets can be picked up on race day from 5:00- 5:30 A.M. at the race site. Kelsey Budge 655-9914 kelsey.m.budge.naf@mail.mil ENTRY FEE: Pre Registration: $25 (Up to June 30, 2016 by 4 P.M.), Late Registration: $40 (July 12, 2016 by 4 P.M.). No registration accepted on race day. Registration and payments will be accepted at the following sites: Health and Fitness Center 655-8007 Martinez PFC 655-4804 Helemano PFC 653-0719 Tripler PFC 433-6443 Ft. Shafter PFC 438-1152 AMR PFC 836-0338 ENTRY FORM l 2016 HAWAII ARMY 10 MILER Sex: oM oF Date of Birth Name (Last) Age on Race Day First Middle Organization / Unit Rank Contact Number: Email Check one: Entry Fees: oActive Duty oReserve oNational Guard o$25 - Pre Registration oRetiree o$40 - Late Registration oMilitary Dependent / Spouse T Shirt (Adult Sizes) oS oM oOther oL oXL COMPLETE AND SUBMIT WITH THIS APPLICATION FOR CONSIDERATION TO REPRESENT TEAM ARMY HAWAII IN THE ARMY TEN-MILER LAST FIRST RANK The 2016 Army Ten-Miler, October 9, 2016, in Arlington, Virginia. I understand that the anticipated departure of the team is scheduled on October 6 and return October 10, 2016. Unit Commander Name (Print) Unit Commander Signature UNIFORM SIZES : Men Sizes: Running shorts Running singlet Warm Up Jacket Warm Up Pants Women Sizes: oS oM oL oXL oS oM oL oXL oS oM oL oXL oS oM oL oXL Running shorts Running singlet Warm Up Jacket Warm Up Pants oS oM oL oXL oS oM oL oXL oS oM oL oXL oS oM oL oXL CONDITIONS AND HOLD HARMLESS RELEASE In consideration for being allowed to participate in the 2016 Hawaii Army 10 Miler Race Around Schofield I hereby agree to comply with the rules for the event and hereby for myself, my heirs, and personal representatives, release the USAG-HI/Directorate of Family and Morale, Welfare and Recreation, the United States Government, Race Officials and volunteers from liabilities or claims arising from my own participation. I agree that I will never prosecute or in any way aid in prosecuting any demand, claim, or suit against the United States Government (including the IMWRF and any officer, Agency, employee of the United States Government or IMWRF, acting officially or otherwise) for any loss, damage, or injury to my person or property that may occur from any cause whatsoever as a result of taking part in this activity. Further, I attest that I am physically fit for this event and will permit free use of my name and picture(s) in related publicity and reports. I hereby consent to receive medical treatment which may be advisable in the event of illness or any injury suffered by me during this event and authorize the release of information in relation to my condition. Date: Signature: COA - DOUBLE LOOP ROUTE 2 Loops: Start/Finish Weyand Field. Trimble Rd, Humphreys Road and Lyman Rd will be needed for this route. Parking / Staging Area: Richardson Pool and Weyand Field