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
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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