WCPO TV BIG K 5K RUN, 9:00 A.M., SAT. JUNE 25, 2005, COVINGTON CONVENTION CENTER
CLICK HERE TO REGISTER ONLINE BY SUN., JUNE 19 W/WO T-SHIRT OR BY WED., JUNE 22 WITHOUT T-SHIRT
OFFICIAL ENTRY BLANK

NAME________________________________________________________________

ADDRESS_____________________________________________________________

CITY________________________________STATE____________ZIP____________

DAY PHONE_______________________EVENING PHONE__________________

AGE_______________                         SEX___________________

___5K RUN  ___5K RUN WEIGHT:Men ____200-219     ____220/OVER, Women 160/over
___5K FITNESS WALK

___$9 PREREG.   _____$18 PREREG. PLUS T-SHIRT   M     L     X     XX
MAKE CHECK PAYABLE TO: BIG BROTHERS BIG SISTERS OF GREATER CINCINNATI
MAIL TO: WCPO TV-BIG K 5K, P.O. BOX 54424, CINTI, OHIO 45254-0424.

WAIVER: IN CONSIDERATION OF THE ACCEPTANCE OF MY ENTRY, I, FOR MYSELF, MY EXECUTORS, ADMINISTRATORS AND ASSIGNEES DO HEREBY RELEASE AND DISCHARGE WCPO TV, BIG K, BIG BROTHERS BIG SISTERS OF GREATER CINCINNATI, INC., THE KROGER CO., DON CONNOLLY INC., AND ALL SPONSORS AND INDIVIDUALS ASSISTING IN THE PRESENTATION OF WCPO TV - BIG K - 5K RUN 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 EVNET 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.

PARTICIPANT'S SIGNATURE________________________________________________________DATE____________

PARENT'S SIGNATURE____________________________________________________________DATE___________
(REQUIED OF ENTRANTS 18 AND UNDER
IN CASE OF MEDICAL EMERGENCY CONTACT__________________________________PHONE_____________

RACE CATEGORIES: MEN AND WOMEN: 14/UNDER, 15-18, 19-24, 25-29, ...55-59, 60-69, 70/OVER WEIGHT: Men200-219, 220/OVER, Women 160/over..  FITNESS WALKERS: 29/UNDER, 30-39, 40-49,50-59,60/OVER
AWARDS: TO THE FIRST OVERALL MALE AND FEMALE.  AWARDS TO THE TOP 15% IN EACH DIVISIION BASED ON PREREG.

RACE RESULTS:  ON THE WEB AT WWW.RACEDMC.COM

INFORMATION: CALL CAROL OR DON CONNOLLY AT 513-474-1399 OR CALL BIG BROTHERS BIG SISTERS OF GREATER CINCINNATI AT 421-4120

DIRECTIONS: THE RUN WILL START AND FINISH AT THE NORTHERN KENTUCKY CONVENTION CENTER AT THE FOOTOF MADISON IN COVINGTON, KENTUCKY.  TAKE I-75 SOUTH OVER THE BRENT SPENCE BRIDGE AND EXIT AT 5TH STREET, FOLLOW 5TH STREET TO MADISON AND TURN LEFT.  PARKING ON THE STREET OR IN PAY LOTS.

COURSE: START AT N.KY. CONVENTION CENTER, GO WEST ON JOHNSON, WEST ON
4TH, NORTH OVER CLAY WADE BAILEY BRIDGE, WEST ON 3RD, SOUTH ON GEST, EAST
PETE ROSE TO TURN AROUND.  RETURN ALONG SAME COURSE TO CONVENTION CENTER.   COURSE IS USATF CERTIFIED.

ENTRY FEES:$9 PREREG., $12 RACE DAY
                       $9 PREREG. T-SHIRT, $12 T-SHIRT RACE DAY
DEADLINE FOR PREREG. IS FRIDAY, 8 DAYS BEFORE THE EVENT.

REFRESHMENTS: ASSORTED BIG K SOFT DRINKS, BAGELS AND FRUIT, BOTTLED WATER AND A COMPLETE TEXAS GOLD SUNDAE BAR.

FUN RUN: A SHORT, FREE FUN RUN FOR KIDS WITH RIBBONS.

SUPPORTING SPONSORS: WCPO-TV
                                               KROGER'S
                                               GENERAL CABLE
                                              

BIG BROTHERS BIG SISTERS OF GREATER CINCINNATI, INC. - TO HELP MAKE A POSITIVE DIFFERENCE IN THE LIVES OF CHILDREN AND TEENS.  CALL 421-4120 FOR MORE INFO.