SPRINGVILLE HERITAGE FESTIVAL

5K RUN / WALK

Saturday June 22ndRace starts and ends in front of the “Springville Community Park”

(follow signs from Hwy #54/58)

Springville is located on Hwy #54/58 approximately 5 miles west of Hwy #37/Hwy #54/58 intersection

Race Course

This course is USTAF Certified. Certification # IN 08006 MW.

The course is an out and back with a slight incline at the start and decline to the finish. A good course for a 5K PR. There will be Mile Markers and water at the turn-around.

After the Race

There will be refreshments for the racers in the Park area. Awards will be presented shortly after the completion of the 5K Walk

The 2013 Springville Heritage Festival will be held on June 20th, 21st, and 22nd.

REGISTRATION

6:30-7:30am Registration

START TIME

8:00am

For more information call:

Rand Hammel

(812) 583-7622

or

Dennis Godsey

(812) 275-4683

After Race events

Please attend and enjoy our parade, flea market, lawnmower race, children’s tractor pull, food booths and many more fun events.

ENTRY FEES

$17.00 entry fee if paid by May 31st 2013

$20.00 entry fee Day of the Race

ENTRY FORM

Name

Street Address

City

Phone Number

Age as of 22 June 2013

______Sex: M F

Circle Shirt Size:SMLXL

Participating Event:5K Run5K Walk

Make Checks Payable to: Springville Heritage Group

Mail Registration to: Perry Township Fire/EMS

Box #44

Springville, IN 47462

RELEASE OF LIABILITY

I know that running/walking in a road race is a potentially hazardous activity. I represent that I am medically able and properly trained to participate in this event. I assume all risks associated with this event including, but not limited to, heat exhaustion, falls, contact with other participants, effects of weather, dangerous traffic conditions, etc, all such risks being known and recognized by me. I hereby agree, for myself and my heirs, assigns, personal representative, executors and administrators, to waive, release, and forever discharge the Springville Heritage Group and its respective directors, officers and employees, volunteer, and any and all sponsors, suppliers and any other personnel assisting or connected with this event, any rights, claims, or demands therefore which I may have or which I may hereafter accrue to me arising out of injury to my person or my property incurred in connection with participation in the Springville Heritage 5K Run/Walk held on June 22nd, 2013.

SignatureDate

Parent’s Signature (if under 18 years of age) Date

AGE GROUP AWARDS

RUNNERS AND WALKERS

13 AND UNDER

14-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-69

70+

Awards will be presented to the Overall Winner Male and Female (Runner and Walker) and the first three finishers in each age group.