SYCAMORE TOWNSHIP CHALLENGE 5K RUN & FITNESS WALK SAT., Oct. 31, 2009 9:00 A.M.
---------------------------------------------------------------------------------------------------------------------------
         

OFFICIAL ENTRY BLANK

_____$9 PRE                           _____$17 PRE PLUS T-SHIRT        M    L     XL    XX

NAME_______________________________________________________________

ADDRESS___________________________________________________________________________

CITY_________________________________________STATE___________________ZIP_____________-

DAY PHONE______________________________________EVENING PHONE________________________

AGE____________________               SEX_______________________-

_____5K RUN

_____5K RUN WEIGHT: _____men 200-219    _____men 220/OVER
      __________women 160/OVER

_____5K FITNESS WALKER

MAKE CHECK PAYABLE TO AND MAIL TO: SYCAMORE TOWNSHIP 5K, P.O. BOX 54424, CINCINNATI,
OHIO 45254-0424.

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 SYCAMORE TOWNSHIP, DON CONNOLLY INC., ALL  SPONSORS AND INDIVIDUALS ASSISTING IN THE PRESENTATION OF THE SYCAMORE TOWNSHIP 5K CHALLENGE 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 AN SUFFIENTLY TRAINED TO PARTICIPATE IN THIS RACE.

ENTRANT'S SIGNATURE_____________________________________________DATE_________________

PARENT/GURARDIAN SIGNATURE_____________________________________DATE________________
(REQUIRED OF ENTRANTS UNDER 18)
IN CASE OF MEDICAL EMERGENCY CONTACT______________________________PHONE____________

Location: . BECHTOLD PARK,SYCAMORE   &  PLAINFIELD ROADS

SPONSORED BY:SYCAMORE TOWNSHIP & CHICKEN ON THE RUN & PANERA BREAD

COURSE:START IN BECHTOLD PARK, GO OUT PARK, RIGHT ON SYCAMORE, RIGHT ON PLAINFIELD, LEFT ON MANTEL, RIGHT ON LARCHVIEW, RIGHT ON PLAINFIELD, LEFT ON SYCAMORE, AND LEFT INTO BECHTOLD PARK TO FINISH.  COURSE IS USATF CERTIFIED.

FEES: $9 PRE, $12 RACE DAY: T-SHIRTS: $8 PRE, $10 RACE DAY.  PREREGISTRATION DEADLINE IS FRIDAY,  EIGHT DAYS BEFORE THE EVENT.  OTHERWISE, YOU CAN REGISTER FROM 7:30 A.M. UNTIL RACE TIME ON RACE DAY.   

FUN RUN: A SHORT FUN RUN FOR KIDS.   RIBBONS TO ALL ENTRANTS.  NO ENTRY FEE.

RACE DIVISIONS AND AWARDS: AWARDS TO TOP 15% OF EACH DIVISION BASED ON PREREGISTRATION.  SPECIAL AWARDS TO FIRST OVERALL MALE AND FEMALE.  MEN AND WOMEN: 14/UNDER, 15-16, 17-18, 19-24, 25-29,...55.-59, 60-69, 70/OVER.  WEIGHT: MEN 200-219, 220/OVER; WOMEN 160/OVER  FITNESS WALKERS: 29/UNDER, 30-39, 40-49, 50-59, 60/OVER.  RESULTS MAILED WITHIN TWO DAYS.

DIRECITIONS: TAKE I-71 TO RONALD REAGAN HIGHWAY.  TURN WEST ONTO RONALD REAGAN HWY.  EXIT AT PLAINFIELD ROAD, LEFT COMING OFF THE EXIT, LEFT AT PLAINFIELD ROAD, AND LEFT AT SYCAMORE ROAD (AT FORK IN ROAD).

INFORMATION: CALL DON OR CAROL CONNOLLY AT 513-474-1399

REFRESHMENTS AFTER THE RACE.
 

RESULTS ONLINE AT WWW.RACEDMC.COM