Download Report

RACES START
AND FINISH at
THE CLOCK
TOWER AT
THE FORUM
Twilight
Trot: 8:30pm
4M: 9:00pm
ENTRY FORM More info at www.lightupthecorners.com
_________ 4 Mile Glow Run (all registrants receive t-shirt and glow items)
__________ Twilight Trot (all registrants receive t-shirt and glow items)
__________ $30 Individual Registration (Thru July 31st)
__________ $25 Team Registration (4 or more participants thru July 31st)
Team Name _________________________________________________
___________ $35 Late Individual/Team Registration (August 1-15)
CHECKS PAYABLE TO: COMMUNITY FOUNDATION OF NORTHEAST GEORGIA (CFNEG)
MAIL TO: Light Up The Corners, 5600 West Jones Bridge Rd, Norcross GA 30092 or drop off at Robert
D. Fowler YMCA. Proceeds benefit the Robert D. Fowler YMCA’s WHY IT MATTERS campaign
FIRST NAME_____________________ LAST __________________________
ADDRESS ________________________CITY ______________ STATE______
AGE ______ (as of race date) GENDER: M / F PHONE_____ ____________
T-SHIRTS Circle one color: NEON PINK (women’s cut) OR NEON GREEN (men’s cut)
ADULT: S ______ M ______ L ____ XL ____ XXL _____
YOUTH: S ______ M ______ L _____
AWARDS:
4 MILE: 1st – 3rd Male & Female; 1st Masters Male & Female; 1st – 3rd in each of fourteen age groups (0-10
years through 70 & over) in 5 year increments (*chip timing)
TWILIGHT TROT: 1st - 3rd male and female finishers; medals to ALL participants
GLOWIEST: Prizes for “glowiest” man, woman, girl, boy and team!
SPIRIT AWARD: Team with most members
Race Waiver: I know that running/walking a road race is a potentially hazardous activity that could cause injury or death. By my signature, I certify I am
medically able to perform this event and am properly trained. In consideration of this entry, I waive any and all claims for myself and heirs against the
Run The Corners Races, Robert D. Fowler YMCA, The Forum, City of Peachtree Corners, Pacesetter’s PR., Race Officials, Sponsors, and/or volunteers of the
Run The Corners races for injury or illness which may result directly or indirectly from my participation in this event. I also give my permission to use my
name and/or picture in any account of the event.
SIGNATURE (required) __________________________________________________________________________
EMAIL ADDRESS (please print clearly) _______________________________________________________
MANY THANKS TO OUR GENEROUS SPONSORS!
The Forum, IMG Live, Ted’s Montana Grill, Silver Dollar Press, Shane’s Rib Shack, Piedmont Bank, Atlanta
Bread Company, Corner Bakery Café, New Balance, Trader Joe’s, Angus McRae Insurance,
Community Foundation for Northeast Georgia, Nix Bryson & Associates