registration form available here - Mountain State Girls on the Run

Mountain State Girls on the Run has served
the communities in Randolph, Barbour and
Tucker counties since 2007. More recently,
we’ve supported programs in Upshur, Pocahontas and Fayette counties. All together,
we have served over 1000 girls.
All race proceeds will benefit the Mountain
State GOTR Scholarship Program.
If you or anyone you know is interested in
being a part of this program, please let us
know. We always need additional coaches,
volunteers and sponsors.
Questions?
Call Marlana: 304-614-6604
more info at
http://mountainstategotr.org
calson
round
rumble
5K
May 9, 2015
10 am
Riverbend Park
Elkins, WV
Girls on the Run Vision:
We envision a world where
every girl knows and activates her
limitless potential and is free to
boldly pursue her dreams
benefiting the Mountain State Girls on the
Run Council
mail entry forms to:
Mountain State GOTR
P.O. Box 1302
Elkins, WV 26241
This race is open to anyone and everyone
who would like to walk/run the streets of
Elkins. It is also a run to celebrate all the
girls participating in our local Girls on the
Run program. This program inspires 3-8th
grade girls to stay true to themselves and
learn healthy lifestyle skills. Our 10-12 week
after school curriculum weaves training for
a 5k run with lessons that empower girls to
celebrate themselves, honor their voices and
embrace their gifts.
The race course begins and ends in Riverbend Park. Participants will loop around and
exit Riverbend Park, run through the Industrial Park and across the Tygart Valley River
before returning through the Glendale
section of the park.
Roundhouse Rumble 5K Entry Form
May 9, 2015 at 10 am
Race Day registration is from 8:30-9:45am at the pavilion in Riverbend Park
Course begins and ends in Riverbend Park
Registration is $20. Please send all entries by May 4th.
Name ____________________________________________________________
Address: __________________________________________________________
City: ___________________________ State: ______________
Zipcode: _______________
Phone: ______________________ email: _______________________________
Male: _________ Female: __________ Age on May 9, 2015: ___________
This is a runner and spectator friendly course
with great car access along the route.
GOTR Alumna (Registration $10) _____
Current GOTR Family Member (Registration $10) _____
Awards given for overall and age group winners. Walkers, strollers and well-behaved
dogs are welcome.
Race Shirts for first 50 entrants: (please select your size)
Youth: Medium ____
Large ____
Adult: Small ____
Medium ____
Large ____
XL ____
Please Note: The course has changed from
past years as the swinging bridge over the
river is no longer suitable for heavy use.
please make checks payable to:
GOTR
bring to race for quick registration or
mail entry forms by May 4th to:
Mountain State GOTR
P.O. Box 1302
Elkins, WV 26241
Waiver of Liability:
In consideration of the acceptance of this entry, I hereby, for myself, my heirs, executors, administrators and assigns, and anyone
entitled to act on my behalf, release and discharge the Mountain State Girls on the Run, Elkins Parks and Recreation and Girls on
the Run International, plus sponsors, their representatives and successors, promoters, managers, directors, officials, agents, employees and volunteers of this event and all claims of injury or liabilities of any kind, illness or damages suffered by me, as a result of
my participation in or traveling to or from this event. I know that running/ walking is a potentially hazardous activity. I should not
enter and run/ walk unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my
ability to safely complete the event. I assume all risks associated with participating in this event, including, but not limited to, falls,
contact with other participants, the effects of the weather (including high heat or humidity, snow, cold or ice), traffic and the conditions of the road, all such risks being known and appreciated by me. I realize that this is a strenuous event which requires proper
physical conditioning. I hereby certify that I am in such physical condition and good health. I also give my permission for the free
use of my name and picture in any written account, broadcast or telecast of this event for any legitimate purpose.
_________________________________________________________ _____________________
Signature of participant (or parent/guardian if under 18)
date