Spooktacular Spartans 5k Saturday, October 25, 2014 www.spooktacularspartans5k.com August 6 at 9 a.m.

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1
Spooktacular Spartans 5k
Cross Country
Run/Walk
Saturday,
October 25, 2014
www.spooktacularspartans5k.com
August
at 9 a.m.
Cross6Country
Run/Walk REGISTRATION
Pleasant Township Park
Spooktacular
Spartans 5k
August
6 atstarts
9 a.m.
Registration
at 8:00 a.m.
Pleasant
Township
October
25,$20
2014
Entry
Fee
by JulyPark
30
Pleasant
Park
Registration
starts
at 8:00 a.m.
$25
afterTownship
Entry Fee $20
by July 30
Registration:
8:00-8:45a.m.
All funds raised are exclusively for the
Race
9:00a.m.Scholarship
$25Begins:
after
Andrew
Wigton Memorial
throughFee:
the Marion
Community
Entry
$20.00*
All funds raised
are exclusively for the
Foundation.
(includes Wigton
race t-shirt
and goody
bag)
Andrew
Memorial
Scholarship
through the Marion Community
Foundation.
PLEASANT
PLEASANT
TOWNSHIP
SCHOOLS
PARK
Pleasant Township ParkPLEASANT
is
1/4 mile west of Pleasant
SCHOOLS
Township fire department,
1035 Owens Road W.
Smeltzer Road
N
Owens Road
Smeltzer Road
PLEASANT
TOWNSHIP
PARK
N
PLEASANT
TOWNSHIP
FIRE DEPT.
Owens Road
PLEASANT
TOWNSHIP
FIRE DEPT.
Pleasant Township Park is
1/4 mile west of Pleasant
Township fire department,
1035 Owens Road W.
Entry Fee includesPRIZES
an official event t-shirt
Top Male
Finisher
(fIrst 50 registered
will be
guaranteed a
shirt), postTop
raceFemale
refreshments
provided.
Finisher
Entry Fee includes an official event t-shirt
(fIrst 50
registered
will beto:
guaranteed a
Awards
will
be presented
Send
Registration
Forms
and
Payment
shirt), post race refreshments
provided.
Top
man
and
woman
to:
First
man and
woman
in each
Awards
will be
presented
to: of the
following age groups: 19 and under; 20-29;
Pleasant
Music
Boosters
Top man
woman
30-39;
40-49;and
50-59;
60 and over
c/o
Music
Booster
FirstJulie
man Joehlin,
and woman
in each
of theTreas.
following
age groups:
2900
Neidhart
Road 19 and under; 20-29;
Kid’s
Run
30-39; 40-49;
50-59; 60 and over
Marion,
OHa 43302
There
will be
special course designed for
aspiring
runners
and under.
Registration
Please
make 12
checks
payable
to:
Kid’s Run
$12. Run will take place after Dre 5K.
Pleasant
Music
Boosters
There
will be
a special
course designed for
aspiring
runners
12 and under.
Registration
For
additional
questions,
email:
$12. Run will take place after Dre 5K.
pleasantmusicboosters@gmail.com
First Name: _____________________________________________________
LastREGISTRATION
Name: ____________________________________________________
First Name:
_____________________________________________________
Address:
_______________________________________________________
Last
Name: ____________________________________________________
City:
____________________________________
Zip: ___________________
Address:
_______________________________________________________
Phone:
________________________________________________________
City:
____________________________________ Zip: ___________________
Email:
_________________________________________________________
Phone: ________________________________________________________
Gender: M or F
Age on race day _______
Email: _________________________________________________________
Shirt Size: S M L XL XXL
Gender: M or F
Age on race day _______
Waiver: In consideration of the acceptance of the
Shirt
Size: for
S myself
M L and
XL my
XXL
entry,
I waive
heirs all claims for
damages against the sponsors of The Dre 5K Run/
Waiver:
Inconsideration
consideration
the
acceptance
Waiver:
In
of of
the
acceptance
of of
the
Walk
and their
representatives
and
all race officials
the
entry,
I
waive
for
myself
and
my
heirs
all
entry,
I waive
forinjuries
myselfreceived
and my heirs
all and
claims
and
volun
teers for
during
as for
a
claims for damages against the sponsors of
damages
against
the
sponsors
of
The
Dre
5K
Run/
result of this event. If I should suffer injury or illness, I
the Spooktacular Spartans 5k and their
Walk and
their representatives
and
all race
officials
authorize
officials
of
theall
race
to officials
use
their
discretion
representatives
and
race
and
and
volun
teers
for
injuries
received
during
and
as a
tovolunteers
have me treated
and transported
to a medical
for injuries
received during
and as a
result of this
event.
I should suffer
injury
or illness,
facility,
I take
full If
responsibility
this action.
I I
resultand
of this
event.
If I should for
suffer
injury or
authorize
officials
of
the
race
to
use
their
discretion
certifY
that
I am physically
fit and
sufficiently
illness,
I authorize
officials
of have
the race
to use
to
have
me
treated
and
transported
to
a medical
prepared
myself
for
this
event.
No
dogs
or in-line
their discretion to have me treated and
facility,
and to
I take
full responsibility
action.
skates
please.
transported
a medical
facility, for
andthis
I take
fullI
certifY that I am
fit and
have sufficiently
responsibility
forphysically
this action.
I certify
that I
prepared
myself
for
this
event.
No
dogs or in-line
am physically
fit and have sufficiently
Signature:
_____________________________________________________
skates please.
prepared
myself for this event. No dogs or in-
Send Registration Forms and Payment to:
Signature: _____________________________________________________
The Dre 5K
*Registrations
1060
Chenonceaux
Send
Registration Forms and Payment to:
received
by
Marion,OH
43302
The
Dre 5K
Sunday,
Oct 19
For1060
tax deductible
donation only make
Chenonceaux
are guaranteed
check
payable
to Marion Community
Marion,OH
43302
a race t-shirt
on
Foundation.
day
of the
Forthe
tax
deductible
donation only make
Forcheck
additional
questions
contact:
event.
Any
payable to Marion
Community
registrations
Foundation.
Dave
Wigton
received
740
225
-1134afterquestions contact:
For
additional
Oct 19 will have
to Wigton
pick up
Dave
shirt(s)
a later
740
225 at
-1134
date.