2 1 Spooktacular Spartans 5k Cross Country Run/Walk Saturday, October 25, 2014 www.spooktacularspartans5k.com August at 9 a.m. Cross6Country Run/Walk REGISTRATION Pleasant Township Park Spooktacular Spartans 5k August 6 atstarts 9 a.m. Registration at 8:00 a.m. Pleasant Township October 25,$20 2014 Entry Fee by JulyPark 30 Pleasant Park Registration starts at 8:00 a.m. $25 afterTownship Entry Fee $20 by July 30 Registration: 8:00-8:45a.m. All funds raised are exclusively for the Race 9:00a.m.Scholarship $25Begins: after Andrew Wigton Memorial throughFee: the Marion Community Entry $20.00* All funds raised are exclusively for the Foundation. (includes Wigton race t-shirt and goody bag) Andrew Memorial Scholarship through the Marion Community Foundation. PLEASANT PLEASANT TOWNSHIP SCHOOLS PARK Pleasant Township ParkPLEASANT is 1/4 mile west of Pleasant SCHOOLS Township fire department, 1035 Owens Road W. Smeltzer Road N Owens Road Smeltzer Road PLEASANT TOWNSHIP PARK N PLEASANT TOWNSHIP FIRE DEPT. Owens Road PLEASANT TOWNSHIP FIRE DEPT. Pleasant Township Park is 1/4 mile west of Pleasant Township fire department, 1035 Owens Road W. Entry Fee includesPRIZES an official event t-shirt Top Male Finisher (fIrst 50 registered will be guaranteed a shirt), postTop raceFemale refreshments provided. Finisher Entry Fee includes an official event t-shirt (fIrst 50 registered will beto: guaranteed a Awards will be presented Send Registration Forms and Payment shirt), post race refreshments provided. Top man and woman to: First man and woman in each Awards will be presented to: of the following age groups: 19 and under; 20-29; Pleasant Music Boosters Top man woman 30-39; 40-49;and 50-59; 60 and over c/o Music Booster FirstJulie man Joehlin, and woman in each of theTreas. following age groups: 2900 Neidhart Road 19 and under; 20-29; Kid’s Run 30-39; 40-49; 50-59; 60 and over Marion, OHa 43302 There will be special course designed for aspiring runners and under. Registration Please make 12 checks payable to: Kid’s Run $12. Run will take place after Dre 5K. Pleasant Music Boosters There will be a special course designed for aspiring runners 12 and under. Registration For additional questions, email: $12. Run will take place after Dre 5K. [email protected] First Name: _____________________________________________________ LastREGISTRATION Name: ____________________________________________________ First Name: _____________________________________________________ Address: _______________________________________________________ Last Name: ____________________________________________________ City: ____________________________________ Zip: ___________________ Address: _______________________________________________________ Phone: ________________________________________________________ City: ____________________________________ Zip: ___________________ Email: _________________________________________________________ Phone: ________________________________________________________ Gender: M or F Age on race day _______ Email: _________________________________________________________ Shirt Size: S M L XL XXL Gender: M or F Age on race day _______ Waiver: In consideration of the acceptance of the Shirt Size: for S myself M L and XL my XXL entry, I waive heirs all claims for damages against the sponsors of The Dre 5K Run/ Waiver: Inconsideration consideration the acceptance Waiver: In of of the acceptance of of the Walk and their representatives and all race officials the entry, I waive for myself and my heirs all entry, I waive forinjuries myselfreceived and my heirs all and claims and volun teers for during as for a claims for damages against the sponsors of damages against the sponsors of The Dre 5K Run/ result of this event. If I should suffer injury or illness, I the Spooktacular Spartans 5k and their Walk and their representatives and all race officials authorize officials of theall race to officials use their discretion representatives and race and and volun teers for injuries received during and as a tovolunteers have me treated and transported to a medical for injuries received during and as a result of this event. I should suffer injury or illness, facility, I take full If responsibility this action. I I resultand of this event. If I should for suffer injury or authorize officials of the race to use their discretion certifY that I am physically fit and sufficiently illness, I authorize officials of have the race to use to have me treated and transported to a medical prepared myself for this event. No dogs or in-line their discretion to have me treated and facility, and to I take full responsibility action. skates please. transported a medical facility, for andthis I take fullI certifY that I am fit and have sufficiently responsibility forphysically this action. I certify that I prepared myself for this event. No dogs or in-line am physically fit and have sufficiently Signature: _____________________________________________________ skates please. prepared myself for this event. No dogs or in- Send Registration Forms and Payment to: Signature: _____________________________________________________ The Dre 5K *Registrations 1060 Chenonceaux Send Registration Forms and Payment to: received by Marion,OH 43302 The Dre 5K Sunday, Oct 19 For1060 tax deductible donation only make Chenonceaux are guaranteed check payable to Marion Community Marion,OH 43302 a race t-shirt on Foundation. day of the Forthe tax deductible donation only make Forcheck additional questions contact: event. Any payable to Marion Community registrations Foundation. Dave Wigton received 740 225 -1134afterquestions contact: For additional Oct 19 will have to Wigton pick up Dave shirt(s) a later 740 225 at -1134 date.