Sunday, April 12, 2015 15K Start: 7:00 a.m. 5K Start: 7:10 a.m. Mail to Racetime sports 478 E. Altamonte Drive Suite 108-716 Altamonte Springs, 32701 Checks payable to Riverside Dash Mailed entries must be postmarked by 3/27/2015 OR Register online at www.riversidedash.com PLEASE PRINT NAME: ______________________________________________________________________________________________________ ADDRESS: ______________________________________________________________ TEL: _____________________________ CITY: __________________________________________________ STATE: ______________________ ZIP: ________________ _____ 15K _____ 5K SEX: __________ AGE: ________ BIRTHDATE (mm/dd/yyyy): ______/______/______ ENCLOSED: $________ Entry fees are nonrefundable. Credit cards accepted during online registration only. Cash or Check only accepted on race day. SHIRT SIZE: Free gender specific tech shirt to all paid registrations. Sizes are not guaranteed for late registration. WOMEN’S S(___) M(___) L(___) XL(___) MEN’S S(___) M(___) L(___) XL(___) EMAIL ADDRESS: __________________________________________________________________________________________ I know that participating in this event is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decisions of a race official relative to my ability to safely complete. 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 and/or humidity, traffic and the conditions of the road., all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself, and anyone entitled to act on my behalf, waive and release the City Sanford, the County of Seminole, Fleet Feet Sports, Seminole County Regional Chamber of Commerce and any and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence on the part of persons named in this waiver. SIGNATURE: ________________________________________________________________ DATE: ______________________ Parent if race participate is under the age of 18 RACE ENTRY FEES Bright House Networks 5k: $25 before 2/1 $30 from 2/2 – 3/1 $35 from 3/2 – day of registration Chase 15k: $50 before 2/1 $55 from 2/2 – 3/1 $60 from 3/2 – 4/1 $65 from 4/2 – day of registration LOCATION Fort Mellon Park Sanford, FL www.RiversideDash.com AWARDS Ceremony at 9:15 a.m. 15K & 5K: FINISHER’S MEDALS TO ALL Top Overall Male & Female; Top Male & Female Master; Top 3 in Age Groups 16 & under; 17-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70+ EARLY PACKET PICKUP: TBA TIMING & SCORING: This event will be professionally managed and timed. All participants will receive a personal chip on their race bib.
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