PROOF Thank you to our sponsors! 7:30 AM - 10:00 AM

Thank you to our sponsors!
P
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F
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Jill Morton
Kidney Transplant
Recipient
U.S. Transplant Games
Gold Medal Winner
Tennis 3-Times
Gold Medal Winner
G R A P H I C S
M A I L E R S
&
P R O M O S
SUNDAY, OCTOBER 26, 2014
7:30 AM - 10:00 AM
CHARNOW PARK
300 Connecticut Street
Hollywood, FL 33019
For more information, to view race course
and to register online today visit
www.active.com/hollywood-fl/running/run-4-life-2014
RACE STARTS AT 7:30 AM
REGISTRATION FORM
RELEASE FORM (mandatory)
COURSE INFORMATION
The 5K Run/Walk event is 3.1 miles and runs around
Hollywood Beach strip starting and ending at Charnow Park.
For more information and to view the race course, please visit:
www.active.com/hollywood-fl/running/run-4-life-2014
If you can’t attend the 5K Race, but would like to help us save
lives, visit the link below to make a donation today.
https://advancement.miami.edu/netcommunity/
sslpage.aspx?pid=1287
Register online at www.splitsecondtiming.com/run-4-life-5k
or complete the attached registration form and mail with
payment to: RUN 4-LIFE, Split Second Timing, Inc. 10112
NW 53 Street, Sunrise, FL 33351. Checks should be made
payable to the University of Miami Life Alliance Organ
Recovery Agency.
P
Your packet will include your number and race day
information. Participants who pre-register online or by
mail can pick up their packets the day of the event between
5:30am - 6:45am. Also Sports Authority located at 4100
Oakwood Blvd., Hollywood, FL 33020 will have packets
available for pick up on the following days: Friday, October
24th from 12:00pm - 2:00pm and 5:00pm - 8:00pm and
Saturday, October 25th from 9:00am - 5:00pm.
TIMING
This event is using the latest technology in event timing, the
ChronoTrack Timing System. Results will be available during
the race “real time” through Split Second Timing.
AGE GROUPS
Awards will be given to the top three male and top three female
runners in each of the following age groups: 10 and under,
11-12, 13-15, 16-19, 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.
Special awards will also be given to the top three overall male
and female runners.
For more information, contact Cynthia Smith at 305-243-9630 or
via email at csmith8@med.miami.edu
RACE DAY SCHEDULE
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REGISTRATION INFORMATION
PACKET PICK UP
In consideration of accepting this entry, I, the undersigned, intending to be legally bound hereby, for myself, my heirs, executors and
administrator, waive and release any and all rights and claims for
losses and damages I may have against the University of Miami, Split
Second Timing, the City of Hollywood, Charnow Park, race directors,
their officers, directors, members and volunteers, physicians or health
care professional present, any and all sponsors including other parties
and their representative successors, and assigns for any and all injuries
suffered by me in said event. By proceeding with this event registration,
you agree that the terms of the Registration Agreement shall apply
equally to you and to any third parties for whom you are acting as
agent. Compliance with Children’s Online Privacy Act (COPPA):
You represent and warrant that, in compliance with COPPA, you are
over thirteen (13) years of age and that if you are registering a child,
and do hereby consent to the collection of such child’s personal
information for the purpose of registration. I attest that I am physically
fit and have sufficiently trained for the competition of this athletic
event and competition which I am voluntarily entering at my own
risk. My physical condition has been verified by a licensed medical
director. Further, I hereby grant full permission to any and all foregoing
to use photographs, videotapes, motion pictures, recordings or any
other record of this event for any purpose whatsoever. USE OF
HEADPHONES, ROLLERSKATES/INLINE SKATES AND
BABY JOGGERS ARE NOT PERMITTED ON THE COURSE.
NO ONE MAY ENTER THIS EVENT WITHOUT SIGNING
THIS OFFICIAL WAIVER.
5:30am - 6:45am /Registration
7:30am / 5K Run/Walk Begins
8:00am /Kids Fun Run Begins
8:45am /Awards Ceremony
7:30am -10:00am /Health Fair
COMPLETE ENTIRE FORM AND SIGN WAIVER/RELEASE FORM
(Please print clearly)
Race Category (circle one), one form per participant
5K Run/Walk
Last Name:
First Name:
Age on Race Day:
Date of Birth:
Print Name:
Date:
HEAT WARNING: Temperatures/humidity can be high in South
Florida. Participants should drink plenty of non-alcoholic fluids or
sports drinks for 48 hours prior to, during, and upon finishing the
race. Beware of heat injury symptoms (dizziness, no sweating,
nausea, cramps, redness, incoherent speech and thoughts). Seek
immediate assistance if symptoms occur. Wear loose, light colored
clothing, a hat and sunscreen.
Male
Address:
Female
Apt #/Suite:
City:
State:
Zip:
Email:
Phone:
Shirt Size (check one)
S
If under 18, signatures of legal guardian & participant are required.
Signature:
1K Fun Run
M
L
XL
ENTRY FEES:
5K Pre-Registration
$25.00
5K Race Day Registration
$35.00
Mail completed form with payment to: RUN 4-LIFE, Split
Second Timing, Inc.10112 NW 53 Street, Sunrise, FL 33351.
Checks should be made payable to
University of Miami Life Alliance Organ Recovery Agency
No entry accepted without registration fee.
No refunds. Race will proceed rain or shine.
All proceeds will benefit organ, eye and tissue donation education efforts.