Nason Hospital 5 K & Wellness Walk

Nason Hospital 5 K & Wellness Walk ( An Event of the 2015 Cove Challenge Series)
Proceeds will benefit
The Garver Memorial YMCA &
Through, Inc.
Dogs are welcome with walkers and
runners -‐ but must be on lead!
TROPHIE
Date: April 11, 2015
Time: 9:00 AM
Trophies will be
given to the first
three overall male
and female finishers
in the 5 K run.
Pre
Pre-­-­register
-­register by: 4/4/15
Entry fees:
x
x
x
$18.00 (5 K Run) pre-‐registered by
4/4/15, $20 post registered
4/5/15³4/11/15
$35.00 family registration, register by
4/5/15 (5 K Run)
$10.00 Walkers
All races start and end at
Through Inc.
2879 Everett Road
East Freedom, Pa. 16637
For more information or to register
call: 814 224-‐5101
Make fee payable to
Garver YMCA
& mail to:
Garver Memorial YMCA
820 Grove Street
Roaring Spring, PA. 16673
Phone:(814)224-‐5101
Fax: (814)224-‐5103
Entry fees are non-‐refundable.
Thank you!
Medals will also be
awarded to the first,
second, and third
place finishers in
each age group for
the 5 K run.
Come out early and participate in health screenings
including a lab screening for $25 that includes:
Chem 16, CBC, and lipid profile.
Please fast for 12 hours prior to testing.
Name ____________________________ Address ____________________________ Email:_______________________ Phone:______________________ Phone:______________________ Participant in: 5K Run, 1M Walk, (circle) Kids Fun Run T-­shirt Size: S M L Youth Size: S M L Sex : M F XL Age on race day In consideration of your accepting my entry, I hereby, for my heirs, my assigns, and myself release Nason Hospital, Garver Memorial YMCA, and the sponsors of The Nason Hospital 5 K & Wellness Walk Committee from any and all liabilities arising from illness, injuries, or damages I may incur as a result of my participation in The Nason Hospital 5 K & Wellness Walk, to be held April 11, 2015. I agree that my name subsequently may be used by the sponsors for publicity purposes without obligation to me. I certify that I am fit to participate in this event. Signature:______________________ Date:_______ Signature of Parent or Guardian if under age 18: __________________________________________