ITHACA FUN FEST

5K RUN/WALK

RACE TIME 9:00 A.M., SATURDAY AUGUST 16, 2014

LOCATION/COURSE:

Ithaca 5K race begins and ends in historic downtown Ithaca corner of Center St. and Pine River St.

The course is paved and mostly flat

REGISTRATION:

Return this form with payment to Gratiot Area Chamber of Commerce, c/o City of Ithaca 129 W Emerson St, Ithaca MI 48847

Pre-Registration before Aug. 9th

Race Day Registration starts at 8:00 a.m. corner of Center and Pine River Street under the big tent.

ENTRY FEES:

$20.00 Early Registration before Aug. 9

$25.00 Registration after Aug. 9

Fee includes T-Shirt (guaranteed to PRE-REGISTERED only), food and beverages.

RACE DAY EVENTS:

Kids dash (Free) following 5K race ribbons & snacks for all kids. Stay for the Fun Fest activities.

AWARDS PRIZES

Overall men’s and women’s 1st place medals and prizes

Master’s ~ Grandmaster’s ~ Senior’s, top three of each age group medals.

CASH PRIZES!!!!!

1st place overall male & female $100.00

Last name:______,First name:______,M.I.____

Street address:______,City:______State:______,Zip:______

Day time phone:______,Email:______,Ran last year: (Y) ( N)

Birth date:___-____-____, Age on 8/16/14:______, Sex (M) (F) , T-Shirt size (YM) (YL) (S) (M) (L) (XL) (XXL)

Where did you hear about our race:______.

AGE GROUP:

O) 10-under O) 11-14 O) 15-19 O) 20-24 O) 25-29

O) 30-34 O) 35-39 O) 40-44 O) 45-49 O) 50-54

O) 55-59 O) 60-64 O) 65-over

Make checks payable to: Gratiot Area Chamber of Commerce

Waiver: I know that running a road race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the race. I assume all the risks associated with the running of this event including, but not limited to falls, contact with other participants, the effects of the weather, including high heat/humidity, traffic, & the conditions of the roads, all such risks being known & appreciated by me having read the waiver & knowing those facts and in consideration of your accepting my entry, I for myself & anyone entitled to act on my behalf, waive & release Ithaca Fun Fest & 5K Run/walk personnel, Gratiot Area Chamber of Commerce, City of Ithaca, all volunteers, all sponsors & their representatives & successors, & the official engaged in the conduct of the race from all claims of liability of any kind arising out of participation in this event. I grant the permission of all the forgoing to use any photographs, video, or any recording of this event for legitimate purposes.

Applicants signature/ Parent or Guarding if under 18:______,Date singed:______

In case of an emergency call:______,Phone:______