6th Annual Angel for Autism
5k/10k Run
Saturday, September 26, 2015
Hosted by Angel for Autism
5k/10k competitive Run and 5k and ½ mile fun walk/run.
Angel for Autism is the slogan that was created to help us remember Traci Storey. Traci had just graduated with a degree in Speech and Language Pathology and was working with children with Autism. A sensory room has been started in her honor in Nashville and Okawville as well as sensory areas in other schools. Funds raised from the race will be used to help keep the sensory room as well as set up scholarships for new rooms to be started. The Race will start at the Nashville Community Center (455 S. Washington St. Nashville IL 62263).Packet pick up will be Friday Sept. 27th at the community center from 4pm - 6pm in Nashville and Saturday Sept. 28th starting at 6:30am.
Bring the entire family and enjoy the happenings at the Nashville Fall Festival following the race!
Time:Registration:
6:30am – Registration and Packet pick up$20 5K postmarked on / before Sept 5th
7:45am – Race line up$25 5K postmarked after Sept 5th
8:00am – 5k/10 run and 5k walk begins $10 fun run postmarked on / before Sept 5th
9:15am – ½ mile fun run/walk $15 fun run postmarked after Sept 5th
9:40am – awards presentation $15 Silent Walker (arrangements to be made for shirt pick up, or may be picked up at packet pick up times)
Prizes will be awarded to the overall top 5k/10k run participants in the following categories:
Top three male and female overall
Top three male and female finishers in the following age groups:
14 and under 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-64 65 and over
Top three male and female walkers overall will be awarded a prize.
Registered participants under the age of 10 participating in the 1/2 mile walk/run will receive a finisher’s medal.
****Prizes will not be mailed****
Registration may be completed online at on race day, or by mailing form to:
Angel for Autism, 8435 Geisel Lane, Nashville IL 62263
Make checks payable to: Angel for Autism
Name: ______Phone: ______
Address: ______Age on Race Day: ______
City/State/Zip: ______Gender: Male Female
Event: 10k Run 5K Run 5K Walk ½ Mile Fun Run Silent Walker
*A silent walker is someone unable to attend the event but will still receive a t-shirt*
Long sleeve dri-fit T-shirt size YSmall YMedium Ylarge Small Medium Large Xlarge XXlarge (add $2.00)
or
*Hooded sweatshirt (for an additional $10). Only available for pre-registered participants. Small Medium Large XLarge XXlarge (add $2.00) *
Waver of Liability:
In consideration of you accepting this entry, I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors, and administrations, waive and release any and all claims for damages, actions, and causes of action against Angel for Autism, their affiliates, officials, representatives, successors, and assigns for any and all injuries suffered by me in this event. I attest and verify that I am physically fit and have sufficiently trained for the completion of this run/walk. Further I hereby grant my permission for the free us of my name and or photographs, video tapes, motion pictures, recordings or any other record of this event for legitimate purpose.
Participant Signature: ______Date: ______
(Parent or guardian signature if participant under the age of 18)
*t-shirts are only guaranteed with registration by Sept. 5th* No rain dates or refunds