Sunday May 3, 2015 10:00 AM The Madison 5K Run/Walk Location Schedule Madison High School 170 Ridgedale Ave. Madison, NJ • 9:00 - Registration, T-shirt and bib pick-up, • 10:00 - 5K Run/Walk • 10:45 - Awards • 11:00 - Kids’ Fun Runs Parking • MHS Tennis Court lot • MRC • Burnet Rd Awards • 5K: Top 3 Male and Female overall and in 5 year age groups; 14 & under through 85+ • Fun Runners: Ribbons and McCool’s ice cream vouchers for all Amenities • T-shirts guaranteed to pre-registrants (by 4/25), and to post-registrants while supplies last • Entertainment • Music and refreshments • Results by Compuscore Course • Certified 5K - Through Madison streets • Kids’ Fun Runs (age 10 & under) - On MHS track - Distances 100 meters, 1/4 mile & 1 mile All proceeds benefit the Madison Public Schools Thank You! For directions, more info, or to register online: www.mefnj.org or email [email protected] Detach Entry Form Last name: First name: E-mail: Phone Number: Hometown: Emergency Contact: (Name) Gender: ˜ Male ˜ Female Age: (Phone Number) Shirt Size: □ Youth Small ˜ Youth Medium Choose One: □ 5k ˜ Kids Run Entry Fees: ˜ Both ˜ Youth Large ˜ Adult Small ˜ Adult Medium ˜ Adult Large ˜ Adult X-Large Official use only USATF-NJ Member#: (if applicable) Bib #: By 4/25: $60 Family, $22 Adult (18 yrs & older), $19 USATF, $12 Youth (17 yrs & under) After 4/25: $65 Family, $27 Adult (18 yrs & older), $15 Youth (17 yrs & under) Total Entry Fee $ plus tax-deductible donation $ Make checks payable to: Madison Education Foundation Total Enclosed $ Mail to: MEF, PO Box 1093, Madison, NJ 07940 I understand that running and/or walking is a potentially hazardous activity. I should participate in the event ONLY if I have trained properly and have been cleared of any medical conditions, which may inhibit my ability to complete this event. In consideration of this entry being accepted, I hereby for myself, heirs, executors and administrators, waive any claim that I may have against the Madison Education Foundation, Madison Schools, Borough of Madison, and any and all organizers and sponsors of, and volunteers assisting with, this event and their representatives and successors for any injuries that may be suffered by me in this event, even though such injuries may arise out of negligence or carelessness on the part of persons named in this waiver. I have read and agree to the above waiver. Signature(s) Date All participants 18 and over must sign. Parent must sign for participant under 18. *Matching Gifts - Your gift could be matched dollar for dollar! Many companies offer matching gift programs that will double, even triple a donation’s value. Check with your company to find out if your company will match your contribution to the Madison Education Foundation. Certified 5K road race with Kids’ Fun Runs Overall and age group awards Ribbons and McCool’s ice cream vouchers for all kids Entertainment for the whole family! Race Bag Pickup at Starting Line Sports 40 Main Street, Madison Friday, May 1st from 9:30am - 6:00pm Saturday, May 2nd from 9:30am – 5:00pm Can’t pick up your Race Bag early? Race Bags can be collected the day of the race from 9:00am at Madison High School Register by April 24 for a guaranteed t-shirt! To register, mail this form or use online link at www.mefnj.org Thank you for your support! Madison Education Foundation PO Box 1093 Madison, NJ 07940 [email protected] www.mefnj.org Thanks to Our 2015 Sponsors* ConnectOne Bank Aon Brinker Capital, Inc. Pfizer Kriegman & Smith Linde, Hansen & Co., LLC Quest Diagnostics Starting Line Sports The Printer’s Place Acrow Bridge FLAG Group at Morgan Stanley The Hampshire Companies Lanca Sales Mariner Wealth Pipe Works Services Total Health Physical Medicine Behind the Wheel with Carmen Breakaway Prep Investors Bank Madison Animal Hospital Madison Area YMCA Professional Physical Therapy & Training Smythe Volvo, Inc. The Princeton Review Tri-County Orthopedics VisionFirst Flex+Strategy Group Gary’s Wine & Marketplace Green Park Sprinklers Hickory Tree Delicatessen Hofmann Design Build, Inc. Law Firm of Sheryl B. Cilenti, LLC Madison Eagle Madison Education Association Madison Eyes Madison Honda Madison Mane Nick’s Floor Covering Odell & Critchley, CPAs Outdoor Digs Pamela Fairley, Town & Country Properties PNC Wealth Management Prudential Romanelli’s Pizza Rusk Enterprises LLC Sara Parker Henderson/Lois Schneider Realtor Sports Training Physical Therapy Stacy Russo, CPA Staples of Madison Sudler Management Corp. The Floor Store The Provident Bank Wireless Zone *As of 2/28/15 The Madison 5K Run/Walk Kids’ Fun Run Sunday May 3, 2015 Location: Madison High School 170 Ridgedale Avenue Madison, NJ 9:00am Check-in begins 10:00am Run or walk the 5K Course 10:45am Awards 11:00am Kids’ Fun Runs (ages 10 & under) Join us for a fun event that benefits Madison public school education www.mefnj.org
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