Race Information:
Saturday, July 25th 2009
Race Time: Kids Dash 9:00 a.m.
Adults 9:30 a.m.
Registration from 8:30-9:00
Rain or Shine
Participants must be 14 or older
Kids will be divided by age groups
REGISTRATION FEE:
$15.00 registration fee by June 15th guarantees you a race t-shirt and (1) free raffle ticket
$20.00 registration fee on race day
FreeKids Dash registration younger than 14
Family discounts will be available at registration
Prizes:
- The male and female winner of the walk and run will receive their choice of available Gift certificates
- All those who register will receive (1) raffle ticket for prizes being raffled off at the Byron Heritage Festival event
Sponsorship
Information
YES! MY BUSINESS WOULD LIKE TO SUPPORT THE TROOP 13 BYRON HERITAGE FESTIVAL - 5 K RACE!
______
BUSINESS NAME
______
ADDRESS
______
CITY, STATE, ZIP
______
CONTACT NAME/PHONE NUMBER
- $100.00 Logo advertising on race t-shirts, announced and listed as Sponsors
- $50.00 Business mentioned and listed as Sponsor
- Any lesser amount business listed in advertisements
- Pledges must be received by June 15th
Please make checks payable to:
Byron Heritage Festival 2009 – 5K race
Send completed form to:
Byron Heritage Festival
PO Box22
Byron, NY14422
Registration Form
Please print Clearly (One form per entry)
______
FIRST NAMELAST NAME
______
ADDRESS
______
______
______
CITY, STATE, ZIP
____ MALE ____ (AGE)
(Must be over 14)
____FEMALE ____ (AGE)
(Must be over 14)
circle: WALKER RUNNER
T-shirt size: MED LARGE XL
AMOUNT PAID: $ ______
Please make checks payable to:
Byron Heritage Festival 2009 – 5K
Send completed forms to:
Byron Heritage Festival
PO Box 22
Byron NY 14422
WAIVER
In consideration of your accepting this entry, I, the undersigned intending to be legally bounded, hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have or which may hereafter accrue to me against Byron Troop 13, Boy Scouts of America, Town of Byron, and any and all other sponsors and their representatives, successors and assigns For any and all injuries suffered by me in said event or arising out of my traveling to and/or returning from said event. I have read the above statements. I fully understand them, and my signature confirms their full acceptance. I attest and verify that I have knowledge of the risk involved in this event, and I am physically fit and sufficiently fit and sufficiently trained to participate in this event.
______
Signature of Runner/Walker
______
Date
______
Signature of Parent or Guardian
(if participant is under 18)
1st annual
Byron Heritage festival 2009 – 5K Race