25TH  ANNUAL PERT PLUS 10K & 5K      SAT., APRIL 9, 2005   9:00 AM
  click here to register online by wed. April 6 and by sun. April 3 if you want a shirt
ENTRY FORM
______$9 PRE-REGISTRATION  _____$18 PRE-REG PLUS T-SHIRT ____$22 PRE-REG PLUS LONG SLEEVE  SHIRT 

SHIRT SIZE:  S M   L  X  XX          

_____10K OR 5K RUN    ____10K OR 5K  RUN: MEN 200-219 LBS. 
_____10K OR 5K  RUN MEN 220/OVER LBS. _____ 10K OR 5K  RUN WOMEN 160/OVER       ___5K FITNESS WALKER

AGE__________                SEX_______________-

PRINT NAME__________________________________________________________________________

ADDRESS______________________________________________________________________________

CITY_______________________________________STATE_____________ZIP____________________

DAY PHONE______________________________EVENING PHONE______________________________

MAKE CHECKS PAYABLE TO: KINDERVELT #7
MAIL TO: PERT PLUS 10K, P.O. BOX 54424, CINCINNATI, OHIO 45254-0424
ENTRIES MUST BE POSTMARKED BY FRIDAY, 8 DAYS BEFORE THE EVENT

THE FOLLOWING RELEASE MUST BE SIGNED: IN CONSIDERATION OF THE ACCEPTANCE OF MY ENTRY, I, FOR MYSELF, MY EXECUTORS,
ADMINISTRATORS AND ASSIGNEES DO HEREBY RELEASE AND DISCHARGE THE CITY OF CINCINNATI, THEIR OFFICERS, OFFICIALS, ADMINISTRATORS, PROCTER & GAMBLE DISTRIBUTING CO., KINDERVELT #21, CHILDREN'S HOSPITAL MEDICAL CENTER, DON CONNOLLY INC. AND INDIVIDUALS ASSISTING IN THE PRESENTATION OF THE PERT PLUS 10K FROM ALL CLAIMS OF DAMAGES, DEMANDS, AND ACTIONS WHATSOEVER IN ANY MANNER OR GROWING OUT OF MY PARTICIPATION IN THIS EVENT.   I HEREBY ATTEST AND VERIFY THAT I HAVE FULL KNOWLEDGE OF THE RISKS INVOLVED IN THIS RACE, THAT I ASSUME AND PAY MY OWN MEDICAL AND EMERGENCY EXPENSES IN THE EVENT OF ACCIDENT, ILLNESS OR OTHER INCAPACITY, REGARDLESS OF WHETHER I HAVE AUTHORIZED SUCH EXPENSES, AND THAT I AM PHYSICALLY FIT AND SUFFICIENTLY TRAINED TO PARTICIPATE IN THIS RACE.

ENTRY SIGNATURE______________________________________________________________________________DATE__________________

PARENT'S SIGNATURE(REQUIRED OF ENTRANTS 18/UNDER)_____________________________________________DATE________________

IN CASE OF MEDICAL EMERGENCY CONTACT________________________________________________PHONE_______________________

ORGANIZED BY KINDERVELT #78 FOR THE BENEFIT OF CHILDREN'S HOSPITAL MEDICAL CENTER

10K COURSE: COURSE STARTS AND FINISHES BY THE SHELTER NEXT TO THE TENNIS COURTS.   AFTER THE START THE COURSE GOES ONTO THE HIKE/BIKE TRAIL BY THE BICYCLE RENTAL AND FOLLOWS THE TRAIL TO WHERE IT COMES MEETS THE INTERSECTION OF WILMER AND AIRPORT ROADS.   CROSS THE INTERSECTION TO THE  HIKE/BIKE TRAIL THAT FOLLOWS WILMER.  FOLLOW THE TRAIL BACK TO THE SHELTER

5K COURSE: RUN/WALK WILL START ON THE HIKE/BIKE TRAIL AND HEAD TOWARDS WILMER.   FOLLOW THE HIKE/BIKE TRAIL PAST AIRPORT ROAD FOR ANOTHER 200 YARDS AND TURN AROUND AND RETURN ALONG THE SAME COURSE.  SAME FINISH AS THE 10K.

FEES: $9 PRE-REGISTRAION, $12 RACE DAY   FEE INCLUDES FRUIT AFTER THE RUN/WALK.
T-SHIRTS: $9 PRE, $10 RACE DAY:  LONG SLEEVE SHIRTS $13 PRE, $14 RACE DAY
ENTRY DEADLINE: ENTRIES MUST BE POSTMARKED BY FRIDAY, 8 DAYS BEFORE THE EVENT.   OTHERWISE, YOU CAN REGISTER ON RACE DAY AT LUNKEN AIRPORT PLAYFIELD FROM 7:30 AM UNTIL RACE TIME.

FUN RUN: A SHORT FUN RUN FOR KIDS AT 9:35PM.  RIBBONS TO ALL ENTRANTS.  NO ENTRY FEE OR SIGN UP NECESSARY.

RACE DIVISIONS: 5K AND 10K MEN AND WOMEN: 14/UNDER, 15-16, 17-18, 19-24, ....65-69, 70/OVER.   MEN:200-219, 220/OVER LBS. AND WOMEN 160/OVER. 5K ONLY: FITNESS WALKERS: 29/UNDER, 30-39,...50-59/60/OVER.   AWARDS: TOP 3 MALE AND FEMALE.  AGE GROUP - AT LEAST 10% BASED ON PRE-REG.   RESULTS MAILED WITH TWO DAYS.

DIRECTIONS: TAKE COLUMBIA PARKWAY TO BEECHMONT AVENUE EXIT: FOLLOW SIGNS TO LUNKEN AIRPORT PLAYFIELD.

FOR INFO CONTACT: DON OR CAROL CONNOLLY AT 513-474-1399.