Play Hard Sports Duathlon & 5K
January 30, 2010 ~ Pinckney Colony Road
February 27, 2010 ~ Rose Dhu Creek Plantation
EVENTS
5K Run or Duathlon (5K Run, 6 Mile Off Road Bike, 5K Run)
2 and 3 person duathlon teams are welcome
Both races will start at 8:30am.
PACKET PICK-UP & RACE DAY REGISTRATION
Race morning from 7:30am - 8:15am.
Packets cannot be mailed.
Race day registration is an additional $5
T-SHIRTS
Shirts are only guaranteed to the first 100 runners (one shirt for both dates).
RUN DIVISIONS
Male & Female; 8 & under, 9-12, 13-19, 20-29, 30-39, 40-49, 50-59,
60-64, 65 & over
AWARDS
Awards presented to Top 3 overall males and Top 3 overall females
as well as the first place finisher in each age division.
No Duplications. Awards will also be given to the top three teams.
R E G I S T R A T I O N F O R M
Please make checks payable and mail to: Play Hard Sports Inc. 17 Lady Cobra Ln
Okatie, South Carolina 29909
For directions and online registration visit playhardinbtown.com or call (843)816-2979
Name: ______Age: _____Gender:______
Address: ______City: ______State:___
Phone: ( ) ______E-mail: ______
Shirt Size: ___YM ___S ___M ___L ___XL ___XXL ($3 additional charge on XXL)
Check one event: ___5K ___Duathlon ___Duathlon Team
Team Name:____________
Check the date(s) you will be participating: _____January 30 _____February 27
Registration Fee: Adults (individuals and teams) $25 per race
Students (18 & under) $15 per race
The cost for adults is only $45 if registering for both dates.
Total Amount Enclosed ______(Sorry NO Refunds)
In consideration of your accepting my/my child’s registration, I hereby for myself, my child, my heirs, executors and administrators waive and release any and all rights and claims for damages I or my child may have against Play Hard Sports, Inc., Play Hard Event Timing, LLC, and all representatives who are in any way connected with this event/program. Further, in the event of any injury, I do hereby give permission and consent to authorize such First Aid and/or Medical and/or Hospital care or treatment as deemed appropriate. In addition, I am fully aware of the provisions covered by the fee for this event and I understand that if any emergency arises, any and all additional expenses incurred must be borne or assumed by the participants. I do hereby give Play Hard Sports, Inc. permission to take photographs of my child or myself while participating in this event. I understand that these photographs may be used for the promotion of future events, advertising and public relations including, but not limited to brochures, flyers or newspapers.
Signature:______Date:______
(Parent or Guardian must sign if under 18)