Document 334976

The Great Sacandaga Challenge
RUN FOR LIFE
5K RUN, COMMUNITY WALK or DUATHLON
Saturday, October 18, 2014
This year Females in Training is teaming up with the Broadalbin Perth
Education Foundation and the Sacandaga Triathlon Club for the event. Race begins at 9:00 a.m. with preparations no earlier than 6:30 a.m.
St. Joseph’s Catholic Church, 2 North Street, Broadalbin, NY 12025
Proceeds will benefit local families in need and the BP Education Foundation.
ENTRY FEES – Register Online at runreg.bpeducationfoundation.org
5K- $20
Duathlon- $55
Duathlon-Team-$75
First 150 pre-registered participants will receive a commemorative glass!
W E PREFER ONLINE REGISTRATIONS IF POSSIBLE!
Please circle which event you will participate in:
5K(run or walk)
or
Duathlon (Run Bike Run)
Participant in 5k run or walk and Individual Duathlon
Individual Participant (5k or duathlon): ______________________________________ Age _____ Sex _____
Participants in Team Duathlon (may have 2 or 3 team members)
Team Duathlon Name: ___________________________________________________
Participant 1: __________________________ Age _____ Sex _____
Participant 2: __________________________ Age _____ Sex _____
Participant 3: __________________________ Age _____ Sex _____
Name of Registrant/Captain: ________________________________________________
Street Address: _______________________________ Apt./PO Box # ______________
City: __________________________________ State: _____ Zip: ________________
Telephone: _________________________Alternate Phone: ______________________
Email: _________________________________________________________________
Please send completed application, signed waiver, and check for entry fee made payable to:
FIT *Lisbeth Brooks * 143 Steadwell Road * Amsterdam, NY 12010
For more information- please contact Lisa Caughey at 229-1920 or email [email protected]
Silent Auction / Family Event – There will be a silent basket auction from 9:00-11:00 on race day. There will also be food for purchase
and many other family fun activities! Kids are welcome to join in a kid’s fun run. Come for a fun day!
Release: (Must be signed by individual or parent/guardian if under 18)
I know that running races is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decisions by race
official, relative to my ability to safely to complete the run or bike. I assume all risks associated with running/biking in the race, including but not limited to falls, contact with
other participants, effects of weather, conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing
these facts and in consideration of your acceptance of my application, I for myself and anyone entitled to act on my behalf, waive and release Females in Training, Fulmont
Roadrunners Club, State of New York, Village of Broadalbin, St. Joseph’s Catholic Church and all sponsors, their representatives, and successors from all claims and liabilities of
any kind arising out of my participation in the race even though that liability may arise out of negligence and carelessness on the part of the person named in this waiver.
Signature (Parent/Guardian): ________________________________________________Date:___________________
Signature (Parent/Guardian):_________________________________________________Date:___________________
Signature (Parent/Guardian):_________________________________________________Date:___________________
The Great Sacandaga Challenge
RUN FOR LIFE
5K RUN, COMMUNITY WALK or DUATHLON
Females in Training (FIT) is holding their
Annual 5K, Run, Walk, Kids Fun Run, and Duathlon
Saturday, October 18th
This year Females in Training is teaming up with the Broadalbin Perth
Education Foundation and the Sacandaga Triathlon Club for the event. Proceeds benefit local families in need. FIT has raised over $80,000 for local families
in need, the Leukemia & Lymphoma Society, American Cancer Society and Breast Cancer
Education in the past 8 years.
We would appreciate your support to make this a success!
Please consider a cash donation of any kind, gift certificate,
and or a basket for our silent auction.
We will also be making a banner with your name or company’s name with a donation of
$500 or more. Please include name on banner and/or business card.
Please return all cash and silent auction donations to:
FIT c/o Katie Murphy * 508 Midline Rd. * Amsterdam, NY 12010
Please contact Beth Tomlinson with any questions: 518-460-3515
Baskets can be dropped off to The Learning Community at B-P Primary School, B-P Intermediate
School or Spinnaker Realty and Sales by Tuesday, October 14th or call Jen Sanford (518) 883-8896
for pick up. Please include a business card for advertisement and the value amount of the basket.
*PLEASE CONTACT US WITH YOUR DONATION BY OCTOBER 1ST TO BE RECOGNIZED ON THE BANNER
Name: _________________________Business Name:___________________________
Street Address: _______________________________ Apt./PO Box # ______________
City: __________________________________ State: _____ Zip: ________________
Telephone: _________________________Alternate Phone: ______________________
Email: _________________________________________________________________
Cash Donation: $____________ (If $500 or more - banner Name:____________________________)
or
Gift Certificate:_______________________________________________ value:$___________
or
Basket
Donation:____________________________________________________value$____________
BasketDescription/Contents:___________________________________________________________
__________________________________________________________________________________
_________________________________________________________________________________