T. Clay Wood Elementary School's 2nd Annual Harvest Howl 5K Run/Walk & Wolf Pup Fun Run Saturday, October 18, 2014 8:00 am - Fun Run; 8:30 am - 5K Race Begins @ T. Clay Wood Elementary School, Nokesville, VA The T. Clay Wood Elementary School PTO is proud to announce its 2nd Annual Harvest Howl 5K Run/Walk and Wolf Pup Fun Run! Race through the beautiful countryside of Nokesville with your spookiest friends! Costumes are encouraged, though please be aware that an ability to see is a key component of racing. Come out for music, door prizes, and family fun! Race is chip timed. Special Class Prize: The T. Clay Wood Elementary School class that registers the most children will win a kickball game with Mr. Buchheit! Sign up today!     5K Entry is $25; Fun Run is $15 Early Bird (register before 9/1) & Family (4 or more) Discounts Available Awards to top 3 finishers in each age group in 5K + Overall Male/Female awards T-shirts available to runners who register by October 4 Race packets which include your race bib number and t-shirt (timing chips will be distributed race morning starting at 7:00 am) can be picked up on: •Friday, October 17, 9:00 am - 3:30 pm (school entry way); or 5:30 - 7:30 pm @ T. Clay Wood's Fall Family Fun Night, 10600 Kettle Run Rd., Nokesville, VA 20181 -OR•Saturday, October 18 (race morning), 7:00 am - 7:45 am, T. Clay Wood Elementary School Waiver: In consideration of the acceptance of this entry for the Harvest Howl 5K and Wolf Pup 1 Mile Fun Run, I waive all claims for myself, my heirs, and assigns against T. Clay Wood Elementary School, T. Clay Wood ES PTO, and all race sponsors and personnel for any injury or illness, claims or damages which may result from my participation. I further state that I am in proper physical condition to compete in this race. The 5K race will be chip timed. Runners shall return their timing chip to Runtime Fitness or T. Clay Wood Elementary PTO volunteers at the completion of the race. Runners not returning their chip will be billed $35. I understand that the race is run rain or shine and it may be cancelled should adverse weather conditions arise. Registration is final, and no refunds will be given. Signature _____________________________________________ Date_________________ (Parent or guardian signature for participants under the age of 18) MAKE CHECKS PAYABLE AND RETURN ENTRY FORM TO: T. Clay Wood Elementary School PTO, 10600 Kettle Run Rd., Nokesville, VA 20181 For more information, email [email protected] Circle One: Name (1)______________________ Race Day Age____ Gender ____ Shirt Size ______ 5K or Fun Run Name (2)______________________ Race Day Age____ Gender ____ Shirt Size ______ 5K or Fun Run Name (3)______________________ Race Day Age____ Gender ____ Shirt Size ______ 5K or Fun Run Name (4)______________________ Race Day Age____ Gender ____ Shirt Size ______ 5K or Fun Run Name (5)______________________ Race Day Age____ Gender ____ Shirt Size ______ 5K or Fun Run Name (6)______________________ Race Day Age____ Gender ____ Shirt Size ______ 5K or Fun Run T-Shirt Sizes: Youth Small (YS) Youth Medium (YM) Youth Large (YL) Adult S (AS) Adult Medium (AM) Adult Large (AL) Adult XL (AXL) Adult XXL (AXXL) Address ______________________________________________________________ City ________________________________State____________ Zip _____________ Phone (_______) _____________________ Email ________________________(registration confirmation) Grade __________ Teacher’s Name (if at T. Clay Wood ES) ____________________ 5K Run/Walk - $25 each participant Fun Run - $15 each participant * DISCOUNTS OFFERED FOR FAMILIES OF FOUR OR MORE AND EARLY REGISTRATION (Before September 1st) In other words, you can combine offers! Totals 5K Participants Fun Run Participants ( ( ) Total running X $25 ) Total Running X $15 Subtotal Subtract $5 for early registration (must be received by Sept. 1st) Subtract $5 for families of 4+ participating TOTAL (checks made out to TCWES PTO) MAKE CHECKS PAYABLE AND RETURN ENTRY FORM TO: T. Clay Wood Elementary School PTO, 10600 Kettle Run Rd., Nokesville, VA 20181 For more information, email [email protected]