2015 F.A.R.M. Food Allergy Resources & Mentoring 5K Run / Walk Nature vs. Nurture F.A.R.M. 5K Run/Walk “Nature vs. Nurture” Ritch Grissom Memorial Wetlands, 10001 N Wickham Rd, Melbourne, FL 32940 DAY OF RACE SCHEDULE: AMENITIES: Saturday, Aug 15th • 6:30 am Day of Race Registration Opens • 6:30 am Pre-registered Packet Pickup • 7:30 am 5K Race Start! *Awards Ceremony immediately following race (Approximately 9:00 am) • Soft Blend T-shirts • Replacement Fluids & Refreshments • Awesome Awards • Unique Location *Register Online at www.fa-resources.org/events AWARDS: EARLY REGISTRATION: Soft Blend T-Shirts guaranteed to pre-registered participants. Unique Awards Top 3 Overall M & F, Top Masters (40+) Age Groups (Top 3 M & F) 8 & Under 9-11 12-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ • April 10 – August 7: $23 (Students under 12 – $15) • August 8 – August 14: $28 (Students under 12 – $20) • Day of race: $30.00 (Students under 12 – $20) SORRY, NO REFUNDS COURSE: Ritch Grissom Memorial Wetlands. The 5k course is a one loop run though native Floridian wildlife and very scenic. The course is a very well maintained hard packed dirt trail. Proceeds benefit Food Allergy Resources & Mentoring. FARM’s mission is to create public awareness of the growing food allergy epidemic and provide a voice to those with food allergies. Today, 1 in 13 kids suffer with food allergies. That’s roughly 2 in every classroom! Through FARM’s outreach and community events, they provide socially inclusive atmospheres that foster friendship and community support to those who suffer in isolation. FARM was founded in 2014 by two parents with a child who suffers with a life threatening milk allergy. It is through their personal journey that they are able to see and fill the void in community support for food allergies. DIRECTIONS: Nature vs. Nurture 5K OFFICIAL ENTRY FORM Send completed entry form with fee to: 274 E. Eau Gallie Blvd. STE. 365 Indian Harbour Beach, FL 32937 Make check payable to: Food Allergy Resources & Mentoring Name__________________________________________________ Sex: Male Female Address ________________________________________________ City ___________________________________________________ State _______ Zip __________ From I-95 take exit 191 Viera. Turn West onto Wickham Road. Ritch Grissom Memorial Wetlands is on the left. CONTACT: Food Allergy Resources & Mentoring Telephone (808) 250-5188 [email protected] www.fa-resources.org Phone __________________ Email address ______________________________________ Date of Birth _____/_____/_____ Age on Race Day _____ Cotton Shirt Size: Youth: Medium Large Adult: Small Medium Large XL XXL How did you hear about the race: Marketing Online Forum Friend Other_________________ INCOMPLETE OR UNSIGNED ENTRY FORMS WILL NOT BE ACCEPTED In consideration of my entry being accepted, I intend to be legally bound, and hereby for myself, my heirs, and executors, waive all rights and claims for damages which may hereafter accrue to me against the sponsors, officials, volunteers, and supporters of this race and any representatives, successors, or assigns for any and all damages or injuries which may be sustained and suffered by me in consideration of my association with an entry or participation in the Nature vs. Nurture 5K event. If I should suffer injury or illness, I authorize the officials of the race to use their discretion to have me transported to a medical facility, and I take full financial and legal responsibility for this action. I attest and verify that I am physically fit and have my physician’s permission to participate in this race. I hereby grant full permission to any and all of the foregoing to use any photographs, videotapes, or any other record of this event for any purpose of the event whatsoever. I have read the above release and understand that it presents a risk of physical injury, knowing this I am entering this event at my own risk. ________________________________________ ___________________________________________ __________ SIGNATURE SIGNATURE OF PARENT FOR THOSE UNDER 18 DATE
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