Nutley Chamber of Commerce 5K FUN RUN Proudly Presents Its Annual - & KID’S FUN RUN - Sunday May 3, 2015 a portion of the proceeds to benefit the NCoC Township Beautification Fund Start: Entry Fees: 9:00am - Nutley Park Oval, corner of Franklin Ave. & Chestnut St. 5K: $20 before April 19 $25 after April 19 Short Sprint: 8:40 am - $5 or FREE w/ adult registration (5 & under) Kid’s Fun Run: 8:50am - $5 or FREE w/ adult registration (6-8 year olds) Pre-Registration: Mail or Walk in: 172 Chestnut St., Nutley, NJ 07110 10:00am - 2:00pm Internet: www.active.com, www.compuscore.com Race Day Registration: 7:00am - 8:30am at the Nutley Park Oval Course Description: Slightly Challenging Awards: 5K: Trophies for 1st, 2nd, 3rd Over all - both Male and Female Following Categories (1st pl.): 14 & younger, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+ Short Sprint & Kid’s Fun Run: Prizes For All! Race results available at www.compuscore.com - All 5K entrants receive a T-shirt and Complimentary Race Packet. - Water Stations on Course - Complimentary refreshments and bottled water For more information: 973.667.5300 or http://nutleychamber.com/events/5k-fun-run/ *DO NOT PARK ON VINCENT PLACE* --------------------------------------------------------------------------------------------------------------------------------------Official Entry Form – Nutley Chamber of Commerce 5K/Fun Run - to benefit the Nutley Chamber of Commerce Township Beautification Fund Rain or shine/non-refundable – Sunday May 3, 2015 – Entry form must be signed Make check payable to: Nutley Chamber of Commerce, 172 Chestnut St., Nutley, NJ 07110 Name: _______________________________ Sex: __ Email: _______________________________ Address: __________________________ City: ____________________St: ______ Zip: __________ Phone: (____)___________ 5K: ___ Kid’s Fun Run: ___ Shirt Size: ___ Date of Birth: ___/___/___ Race Day Age: ___ RELEASE: I know that running a road race is a potentially hazardous activity and that I should not enter unless I am medically able and properly trained. I agree to abide by any race official relative to my ability to safely complete the run. I assume all risks associated with running this event including but not limited to: falls contact with other participants, the affect of the weather, including low or high temperatures/humidity, traffic and the conditions of the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I myself and anyone entitled to act on my behalf waive and release the Nutley Chamber of Commerce, its officers, members, race volunteers, the Township of Nutley and its Departments and employees and all sponsors, their representatives, employees and successors from any and all claims and liabilities of any kind arising out of my participation in this event or carelessness of the persons named in this waiver. ________________________________________________________________________________ Signature Parent/Guardian Register on line at www.active.com – www.compuscore.com Date
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