5K Run/Walk - Sid Jacobson JCC

Non-Profit Org.
US Postage
PAID
Permit No. 5
Roslyn, NY 11576
BUILDING STRENGTH FOR ALL
Exercise and support counseling
geared to the specific needs of
cancer survivors.
•Body Conditioning
Sid Jacobson JCC
8th Annual
5K Run/Walk
& Children’s Fun Run
Benefitting
FREE CANCER
WELLNESS
PROGRAMS
at the JCC
Sunday, June 8, 2014
9:00am Start (Rain or Shine)
www.sjjcc.org/5K
•Yoga
•Zumba
•Art Therapy
•Full Day Retreat at Camp Jacobson
• Start to Finish Corp
• “Winning Time” computer chip technology
Course:
• USATF Certified course
• 3.1 miles professionally timed by Start to Finish
• Challenging course with rolling hills, yet
manageable for all levels
• Water stops and mile markers
• Police-controlled route
(Name on T-Shirt, Signage and in Event Publicity,
5 Entries to Race)
Directions to Sid Jacobson JCC:
Silver..........................................................................$360
Long Island Expressway to Exit 39N, Glen Cove
Rd. North. Turn north onto Glen Cove Rd. Proceed
approximately 2 miles to Northern Blvd./Route 25A. Turn
left onto Northern Blvd. At the second traffic light turn
left onto Forest Drive (East Hills Chrysler-Plymouth on
corner) and bear left around the bend to the JCC.
Bronze........................................................................$180
Mail Entries to:
Sid Jacobson JCC
Attn: Leslie Morris
300 Forest Drive
East Hills, NY 11548
For More Information:
Adrian Sadowski
516-484-1545, ext. 153
asadowski@sjjcc.org
(Name on Signage and in Event Publicity, 2 Entries to
Race)
(Name on Signage and in Event Publicity, 1 Entry to Race)
Team Player................................................... Up to $180
ALL DONATIONS WELCOME
Multiple sponsorships are available at each level.
Please make your contribution payable to Sid Jacobson
JCC.
Name________________________________________
Address:_____________________________________
City _______________ State ______ Zip___________
Phone _______________________________________
Name to appear in publicity_____________________
Amount Enclosed______________________________
This sponsorship brochure printing donated by: Ristaprint, 131 Liberty Avenue, Mineola, NY 11501
516-746-2262 • RISTAPRINT.COM
Logos may be submitted to asadowski@sjjcc.org.
Printing deadline is May 10, 2013.
Phone number
Team Captain
Email
Mail-in or online registrations must be received by May 24, 2014. Make checks payable to: Sid Jacobson JCC
Mail registration form to: SID JACOBSON JCC, 300 FOREST DRIVE, EAST HILLS, NY 11548
Race Timing:
Gold........................................................................... $500
SJJCC member  Yes  No
Numbers and shirts may be picked up on June 8,
from 7:30–9:00am at Sid Jacobson JCC in East Hills.
NO NUMBER PICK-UP AFTER 9:00am!
(Name on T-Shirt, Signage and in Event Publicity,
10 Entries to Race)
Shirt Size (one):  S  M  L  XL Check In:
Platinum................................................................. $1,000
If special needs, please check here  Needs to have 1:1 aide provided 
• sjjcc.org/5K
• Active.com
• register.start2finish.com
FREE race t-shirts
FREE food and refreshments
Raffles for great prizes
FREE childcare service
(Children’s Fun Run Naming Sponsor, Name on T-Shirt,
Signage and in Event Publicity, 15 Entries to Race)
 Running  Walking
Online Registration:
•
•
•
•
Children’s Fun Run Sponsor............................. $5,000
Age on Date of EventDate of BirthSex  M  F Team Name
• ¼ mile for kids 10 and under
• Awards to all
Amenities:
(5K Run/Walk Naming Sponsor, Name on T-Shirt, Signage
and in Event Publicity, 20 Entries to Race)
Tel. #Email
Children’s Fun Run (FREE):
5K Run/Walk Sponsor...................................... $10,000
City/State/Zip
Children’s Fun Run—9:00am (RAIN OR SHINE)
5K Run/Walk–9:30am (RAIN OR SHINE)
• Overall male and female winners
• First three male and first three female age-group
finishers: 14 and under, 15–19, 20–24, 25–29, 30–
34, 35–39, 40–44, 45–49, 50–54, 55–59, 60–64,
65–69, 70–74, 75 and over
• First male and female special needs finishers
Sponsorship:
Street Address
Start:
Awards:
Last NameFirst Name
Pre-registration (must be received by May 24
via email, online or in person)................... $18 per person
Registration (received after May 25)...... $25 per person
ENTRY FORM
Entry Fees:
Middle Initial
Sunday, June 8, 2014
Signature (all applicants must sign. If under 18, signature of guardian or parent):
8th Annual 5K Run/Walk & Children’s Fun Run
I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, hereby waive, release and hold harmless Sid Jacobson JCC, sponsors and all persons
associated with this event and their agents, employees, representatives, successors and assigns, from any and all liabilities, claims, demands and causes of action whatsoever arising directly or
indirectly from my participation in this event even if any such liabilities, claims, demands and causes of action arise in whole or in part out of negligence of any of the above-mentioned
organizations or individuals. (If signed by a parent, the parent agrees to waive, release and hold harmless the above-mentioned organizations and individuals from any and all said liabilities,
claims and causes of action which may be asserted on behalf of the entrant). I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and that my
physical condition has been verified by a medical doctor. Further, I hereby grant permission to any and all of the above mentioned organizations and individuals to use any photographs,
videotapes, motion pictures, recordings or any other record of this event and my participation in this event for any purpose whatsoever.
To benefit
Building Strength for All