26th EMMA CREEK CLASSIC 5K WALK, JOG, OR RUN Saturday, April 25, 2015 9:30 a.m. at Hesston High School The 26th-annual Emma Creek 5K is an opportunity for women and girls of all ages to walk, jog or run for fun, health and fellowship. The scenic course is a 3.1-mile (5k) route that travels through traffic-free residential and public park streets. It's a celebration of women’s health and fitness! Office use only: Race # REGISTER FOR THE 26TH EMMA CREEK CLASSIC 5K Please mail this form with payment to: Shirt size HRCE Emma Creek Classic, P.O. Box 927, Hesston, KS 67062 or drop off at Hesston Rec, 303 Park Rd. or the Hesston Wellness Center OR REGISTER AT WWW.HRCE.ORG/STORE starting Feb. 1 Name___________________________________________________ Please print clearly Address_________________________________________________ City_____________________________St_____Zip______________ Email___________________________________________________ We use your email only to send you our “digital goodie bag” & race info AGE ON RACE DAY _________ WAYS TO REGISTER MAIL FORM TO: HESSTON RECREATION, P.O. Box 927, Hesston, KS 67062 REGISTER ONLINE STARTING FEB. 1: Register & pay at www.hrce.org/store. A $4 credit card processing fee applies. Online registration ends at noon April 23. Extra registration forms are at www.hrce.org. FOR MORE INFORMATION: Contact Hesston Recreation at (620) 327‐2989 or email [email protected] MORE INFORMATION SHIRTS: The runners’ shirts this year are neon yellow with purple & black lettering! PACKET PICKUP: Packets may be picked up from 2 to 6 p.m. Thursday, April 23; from 9 a.m. to 3 p.m. Friday, April 24; or starting at 8 a.m. on race day. Telephone ______________________________________________ INDIVIDUALS/TEAMS: You can join as an individual or with a team. All teams must have at least 5 ENTRY FEE ‐ INCLUDES T‐SHIRT (CHECK ONE): CHECK SIZE : members. Teams must pre‐register. We do not accept $19 for adult short‐sleeve shirt ______ ($21 after April 14) S M L 1XL 2XL 3XL team entries on race day. Kinds of teams: Family team ‐ related by blood or marriage $20 for adult WOMEN’S‐CUT (NEW!) short‐sleeve ______ ($22 after April 14) Workplace team ‐ employed by the same institution (This shirt is tapered at the sides and has shorter sleeves) S M L 1XL 2XL 3XL or who share common office space $21 for adult long‐sleeve shirt ______ ($23 after April 14) S M L 1XL 2XL 3XL Special interest team ‐ in the same club, church, etc., $13 for ages 14 & younger _______ (youth or adult short‐sleeve T‐shirt only) who share a common interest ($15 after April 14) YM YL AS AM AL A1XL CERTIFICATION: A chip timing system is used for the race, which is a certified fast and flat course. Yes No Is this your FIRST Emma Creek Classic: REFUNDS: There will be NO refunds after April 17. SALE OF EMMA CREEK ITEMS: Emma Creek shirts & other items from previous races will be available for FOR TEAMS ONLY ‐ Teams must have at least 5 members sale before and after the race. Circle team category: FAMILY WORKPLACE SPECIAL BUFFET: There is a delicious buffet of fruit, pastries and beverages available to runners after the race. __________________________________________________________________________ TEAM NAME AWARDS CEREMONY: An awards ceremony follows the race. The Top 10 overall winners will receive awards and a special gift. Additionally, the top three Waiver: I, for myself, my executor and administrator, do hereby release and discharge the Emma Creek in each age division will receive a stoneware plate by officials, sponsors and directors from all or any claims of damage, demands, actions and causes of actions, sculptor Lynn Lais. No plates or other prizes will be whatsoever, in any manner arising out of my participation in the Emma Creek Classic race. I certify that I have handed out before the ceremony. prepared myself for this event and am in adequate physical condition to participate in this event. I give RULES: Please no cell phone use during the race. permission in the event my photo is used for any Emma Creek publicity materials. **This waiver must be No pets in the race. STUDENTS: All Kansas middle school and high signed by every participant regardless of age. If younger than 18, a parent or guardian’s signature is required. school track and field athletes are not eligible to enter Date _____ 2015 Signature or compete in this event due to KSHSAA rules. PROCEEDS: Proceeds from the Emma Creek 5K help Plan to stay for the awards ceremony after provide scholarships and programming for Hesston the race? If so, print your name to the right Recreation, a not‐for‐profit organization. and we’ll put your name in for our prize FACEBOOK: Visit us on Facebook at Emma Creek PRINT NAME HERE drawings. You must be present to win! Classic 5K 12 □ □
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