THE 34th ANNUAL EXECUTIVE STAMPEDE 5K RUN AND WALK
Presented by the Baltimore Road Runners’ Club to benefit
The Charlie Reynolds Memorial Scholarship Fund
DATE:SUNDAY, SEPTEMBER 15, 2013 TIME: 8:00 A.M.
PLACE: HUNT VALLEY Executive Plaza
TEAMS: Each person RUNS or WALKS as a team member for his or her firm.
Teams must have at least 3 members, immediate family members may participate on the same team
TEAM CATEGORIES:BUSINESS / EDUCATION / GOVERNMENT / NON-PROFIT / OPEN
INDIVIDUALS: Individuals are those not associated with a team. Individuals are eligible for Individual Awards in the Open and Masters Categories.
COURSE: Executive Plaza, Hunt Valley, Maryland. Out and back course starting at Executive Plaza and winding through the Hunt Valley Business Park. PLEASE! NO ANIMALS ON THE RACE ROUTE.
PREMIUM: Large, durable Athletic Duffel with zippered main compartment, zippered front pocket and bottle pocket, carry handles and adjustable shoulder strap with custom designed race logo.
AWARDS: The firm which fields the largest number of participants receives the EXECUTIVE CUP to
display at their business location for one year.
-Awards to top 2 teams in business / education / government / non-profit / and open categories
-Awards to the top 3 overall male and female finishers.
-Awards to the first master (40-49), grandmaster (50-59), senior (60-69), senior master (70+) male and female finishers (no duplication of individual awards)
-Post Race refreshments will be served.
Registration & Packet Pick-up: MAC Express in Hunt Valley, 11212 McCormick Road Hunt Valley, MD Friday, September 13 3-7 PM Saturday, September 14 11-2 PM
Race day registration and packet pick-up: 6:45-7:30 A.M. at Executive Plaza
Registration/Entry Fees: Prior to race day (through Sept. 14): $20 per participant. The registration fee is waived for those who are UNDER 18. Under 18’s will not receive a premium. However, premiums will be made available for $12 additional charge.
Race Day: $30
Checks should be made payable to the BRRC and may be mailed to: Executive Stampede, P.O. Box 9825, Baltimore, MD 21284
Race Directors:Bailey and Christy St.Clair ()
Club Hotline: 410-630-1580 for last minute and inclement weather notices.
Club Website: Follow us on TWITTER and Facebook
Directions to Race:
From the Baltimore Beltway, take I83 North to Exit #20A , Shawan Road - East. Make a right at the first traffic light onto McCormick Road. Go one block and make right into the Executive Plaza parking lot. Those with GPS may use the address 11250 McCormick Road, Hunt Valley, MD 21031
REGISTRATION FORM: TEAM ENTRIES
Name of Company/Individual______
Team Captain______
Street Address______
City, State, Zip______
Telephone Contact (Day)______(Evening)______
Amount Enclosed $ ______Number of Team Members______Category______
Checks should be made payable to the BRRC and may be mailed to: Executive Stampede, P.O. Box 9825, Baltimore, MD 21284
Date ______
THE 34th ANNUAL EXECUTIVE STAMPEDE 5K RUN AND WALK
Presented by the Baltimore Road Runners’ Club to benefit: THE CHARLIE REYNOLDS MEMORIAL SCHOLARSHIP FUND
TIME: SUNDAY, SEPTEMBER 15, 2013 at 8:00 A.M. PLACE: HUNT VALLEY Executive Plaza
In consideration for your acceptance of this entry, I the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the Baltimore Road Runners Club, Inc., the Road Runners Club of America, and any sponsors and/or their representatives, successors and assigns for any and all injuries suffered by me in said event, even if such injuries result from the negligence of any of the above named groups or entities. I represent that I understand that physical training is required in order to reduce the risk of injury and I represent that I am physically fit and sufficiently trained for the completion of this event. Further, I hereby grant full permission to any of the foregoing to use any photographs, videotapes and any other record of this event for any legitimate purpose.
Participants:
Last Name First Name Signature Age Gender If under 18, premium?
Yes=$12
1) ______
2) ______
3) ______
4) ______
5) ______
6) ______
7) ______
8) ______
9) ______
10) ______
NOTE: IF participant is under 18 years of age, parent or legal guardian signature required.
PLEASE ATTACH SEPARATE SHEET FOR ADDITIONAL PARTICIPANTS
TEAM CAPTAINS: PLEASE COMPLETE ATTACHED XLS AND EMAIL to NLT SEPTEMBER 10, 2013.
REGISTRATION FORM: INDIVIDUAL ENTRIES
THE 34th ANNUAL EXECUTIVE STAMPEDE 5K RUN AND WALK
Presented by the Baltimore Road Runners’ Club to benefit
THE CHARLIE REYNOLDS MEMORIAL SCHOLARSHIP FUND
TIME: SUNDAY, SEPTEMBER 15, 2013 at 8:00 A.M. PLACE: HUNT VALLEY Executive Plaza
In consideration for your acceptance of this entry, I the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the Baltimore Road Runners Club, Inc., the Road Runners Club of America, and any sponsors and/or their representatives, successors and assigns for any and all injuries suffered by me in said event, even if such injuries result from the negligence of any of the above named groups or entities. I represent that I understand that physical training is required in order to reduce the risk of injury and I represent that I am physically fit and sufficiently trained for the completion of this event. Further, I hereby grant full permission to any of the foregoing to use any photographs, videotapes and any other record of this event for any legitimate purpose.
SIGNATURE______
NOTE: IF participant is under 18 years of age, parent or legal guardian signature required.
LAST NAME______
FIRST NAME______
DOB______AGE ON RACE DAY______
DATE:______
ENCLOSED FEE: $20 PRE RACE $30 RACE DAY UNDER 18 YEARS OF AGE: FREE
Unless premium desired
If under 18 years of age, premiuim desired? ______If yes, please include $12 for additional charge.
Checks should be made payable to the BRRC and may be mailed to: Executive Stampede, P.O. Box 9825, Baltimore, MD 21284