HEALTHY KIDS DAY FUN RUN & WALK
ANNUAL BROCKTON YMCA HEALTHY KIDS DAY FUN RUN & WALK 5K Fun Run, 2.2 mile walk D.W. Fields Park, Brockton MA Saturday April 25th, 2015 8:00 A.M. registration 9:00 A.M. start ~ rain or shine Pre-Registration (By April 18th) Entry Fee (18 and over) $20.00 Entry Fee (Under 18) $5.00 $25.00 post-entry until 8:45 A.M. race day enforced Please make checks payable and mail to Old Colony YMCA, 320 Main St, Brockton, MA 02301, 508-583-2155 All proceeds go to the Y’s Annual Fund Campaign Start/Finish and Course Terrain: Race starts at the Pentangle parking lot at D.W. Field in Brockton, MA. Course is a loop around a scenic pond, mostly flat with a paved running path Awards presented to Top Male and Female Winner Overall, Top finishers (male & female) in each age division: 12 and under 13 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 and over Join us post-race for our Healthy Kids Day event at the YMCA 320 Main St, Brockton. Select One: 5K_______2.2mile walk Volunteer ____________________________________________________________ Name ( ) Telephone Address Booster ____________________ Age (race day) _________________ D.O.B. _________ __________ Male Female Email address City/Town State Zip In consideration of the acceptance of this entry, I do forever release the Old Colony YMCA, Brockton YMCA, The City of Brockton, The Brockton Police Department, and all other sponsors and organizers of the Brockton YMCA 5k Fun Run, from any claims whatsoever from my participation in this event. I attest that I am physically fit and sufficiently trained to compete in this event. I understand the entry fee is non-refundable, and the organizers of the race reserve the right to extend and reject any and all entries. ____________________________________________________________________________ Signature ___________________ Date
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