Stephenville Lions Club
SPOOKTACULAR!
Half Marathon & Relay, 5K, 10K & 1 Mile Fun Run
Benefiting Local Youth & Vision Projects and the Texas Lions Camp
Saturday October 25, 2014 Chip Timing by Race Day Event Services
LOCATION: LEM BROCK FIELD – 2798 WEST FREY
Halloween Half 8:00 A.M. 10K 8:10 A.M. 5K 8:20 A.M. Fun Run 8:30 A.M.
All Half Marathon, 10K & 5K finishers receive a participation medal. First 500 participants guaranteed a technical shirt.
Halloween Half Marathon, 10K & 5K Awards:
1st, 2nd, & 3rd place Male & Female, Overall (all ages), Masters (40 to 59), & Grand Masters (60 and over).
Separately we award 1st, 2nd, & 3rd place Divisional medals in 5 year incremental brackets (9 and under, 10-14, 15-19, etc.).
Fun Run Awards: All participants get a finishers medal & Halloween themed T-Shirt while supplies last. Child sizes available.
Entry Registration (please print clearly. For a relay team, use separate form for each member)
First Name _________________________________________ Last Name______________________________________
Address ________________________________________ City ___________________State _____ Zip _________________
E-Mail _____________________________________________________________ Phone _______/_______/___________
Male_____ Female_____ Age on Race Day ______ Technical Shirt Size - Adult only (circle): S M L XL XXL
Entry Fee: Non-Refundable. Race Day Registration begins at 6:30 AM at Lem Brock Field – 2798 West Frey.
Circle Event Early Registration After Sep 30th Day of Race
Halloween Half $55 $60 $65 $__________
Half 4 Person Relay $180 $190 $200 $_________
10K $35 $40 $45 $__________
5K $25 $30 $35 $__________
1 Mile Fun Run $15 $15 $15 $__________
Register on–line at http.register.racedayeventservices.com (we cover the service charge) or mail completed and signed Entry Registration with check or money order payable to: Stephenville Lions Club, P.O. Box 410, Stephenville TX 76401. For additional information contact Hudon White at 214-675-4708 or
Waiver – All Participants Must Sign
I assume full and complete responsibility for any injury or accident which may occur to me during the race, or while I am on the premises of the event, and I hereby release and hold harmless the sponsors, promoters, all other persons and entities associated with the event or their agents or employees or otherwise. I certify that I am in good physical condition and fully able to participate in this event. I understand that fees are not refundable. I have read, understand and voluntarily signed this agreement.
SIGNATURE ____________________________________ (Parent or guardian signature if entrant is under 18)
Official Use: Bib #____________ Date Received: ______________