37th Annual Jane Jacobs Memorial Firecracker 10K Walk/Run

THE MADISON COURIER
37th Annual Jane Jacobs Memorial Firecracker 10K Walk/Run
Saturday, July 4, 2015
BOTH Walk and Run
will begin at 8 a.m. DST
WALK: $10 if received by June 26. $15 after June 28.
Includes T-Shirt and walker’s packet.
RUN: $20 if received by June 26. $25 after June 28.
Includes T-Shirt and runner’s packet.
Register early to secure desired t-shirt size.
No refunds for inclement weather.
LOCATION:
The 10K race begins at Madison Consolidated High School
with the course winding through the hills of this picturesque
Ohio River town. Madison is located approximately 50 miles
from Louisville, 70 from Cincinnati and 90 from Indianapolis.
The 37th Annual Madison Courier 10K Walk/Run will be without a familiar face
this year as longtime Publisher, Jane Jacobs (center) lost her battle with a long
illness this spring.
TIME:
Check in at Madison Consolidated High School, 743 Clifty
Drive begins at 6:30 am (Daylight Savings Time).
In honor of her dedication to one of the most popular Madison Regatta Festival
events this year’s race has been renamed the Jane Jacobs Memorial
Firecracker 10K Walk/Run.
Custom made awards presented in all 10K Run Divisions
in addition to top Male and Female runner awards.
(Copyright 2004-2015 The Madison Courier)
Jacobs has helped organize and worked at every Madison Courier 10K Walk/Run
since its debut in 1979.
Additional entry forms are available at
www.madisoncourier.com
ENTRY FORM
Jane Jacobs Memorial Firecracker 10K Walk/Run
In consideration of the acceptance of my entry. I for
myself, any executors, administrators and assignees,
do hereby release and discharge the Madison
Courier, Inc. for all claims for damages, demands,
actions whatsoever in any matter arising or growing
out of my participating in said athletic event. I attest
and verify that I am physically fit and sufficiently
trained to participate in this event.
Name
Address
City
State
Signed
Application MUST be signed. Parent or guardian must sign if participant is under 18.
CATEGORIES MALE AND FEMALE
13 and under
14-15
16-18
19-24
25-29
30-34
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70 and over
Zip
Phone
Age (as of June 2015)
Sex: M
F
T-Shirt Size (circle one) S - M - L - XL Adult - XXL Adult
Send check or money order to:
The Madison Courier 10K Race
310 Courier Square
Madison, IN 47250
Circle
one
WALK
$10.00/$15.00
RUN
$20.00/$25.00