Race to the “Creek” 5k Run and Walk

Saturday Sept 10, 2011 A race to support Patuxent High Track and Field

8:00 am race start Race Day registration begins at 6:45 am

Pre-registration by mail, online, or in person is encouraged Online registration via active.com @http://www.active.com/event_detail.cfm?event_id=1964643

Race fee Students $15.00 Adults $20.00

Race day $20.00 $25.00

All registered runners will receive a T-Shirt. Shirts guaranteed for the 1st 75 registered runners/walkers.

For more information call 410 535 7865 or email Dave Walser race director or

Awards for male and female overall

Age group awards for first three in each age group

Age groups under 14, 14-19, 20-29, 30-39,40-49,50-59, 60+

Race is an out and back course. Race starts at Patuxent High School and goes around the PHS campus. It then travels to the new Southern Connector Blvd and continues to Mill Creek middle school and then returns to PHS. Course is mostly paved with some flat and some rolling terrain. Finish line by the Chesapeake Bay Running Club

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Race to the “Creek” 5k Make checks payable to Patuxent High School or enter online

Do not send checks after Septermber 6. Send to Patuxent High School

12485 Southern Connector Blvd , Lusby, MD 20657 Attn: Dave Walser

Name

Last First

Address

City State Zip

Phone Gender Birth Date Age on race day

M / F
- / -
Liability Waiver Must Be Signed
S / M / L / XL / XXL

Tee-Shirt Size

I assume entry into this race at my own risk and understand that running a road race is a potentially hazardous activity. In consideration of the acceptance of my entry, I, intend to be legally bound, hereby, for myself, my heirs, executors, administrators, and assigns, waive and release any and all rights and claims for loss or damages I may have or hereafter accrue to me against the sponsors, and any and all individuals and groups involved in the coordination and operation of the run, their representatives, successors and assigns for any and all injuries suffered by me in the event, including those attributed to weather conditions or vehicles. I agree to abide by the decision and judgment of race officials regarding my removal from the race course for medical or other valid reasons which they determine to be in the best interest of a safe race for all runners. I attest and verify that I am physically fit and have trained for this race.

Signature (parent or guardian if under 18) Date