Location: Orangewood Church 1300 W. Maitland Blvd. Maitland, FL 32751 Date & Time Saturday, February, 21, 2015 5K Start: 7:30AM FREE Kids Dash - 8:30AM (kids dash for ages 10 and under) Registration For easy online registration visitwww.racetimesports.com, online registration open through midnight, 2/19/15 Mail in completed entry form to: Race Time Sports c/o Greater Maitland 5K 478 E. Altamonte Drive, Suite 108-716 Altamonte Springs, FL 32701 Make all checks payable to: Orangewood Church Walk-In Registrations: Walk in registration forms may be dropped off at the church office. Beneficiary Net proceeds from this event will benefit New Hope for Kids (www.new hopeforkids.org) and Orlando Children’s Church (www.orlandochildrens church.org) Restrictions For safety reasons, skates, skateboards, motorized carts, and dogs will not be allowed on the race course. Baby joggers and strollers are welcome, but must start at the back of the starting corral. Youth (14 and under) & Senior (60 and over) $20 through February 19 $35 Day of race Last Name Packet Pick-Up Pre race pick up of race number and t-shirt at Orangewood Church, 1300 W. Maitland Blvd., Maitland, FL 32751. Pick up time is Friday (2/20) from 11:00am to 6:00pm. Packets will also be available the day of the event at the race site, starting at 6:30am. Awards and Timing (chip timed event) Awards are given in overall, and age group categories. Overall awards are given to top 3 male and female, top overall masters male and female. Age group awards are given 3 deep to each male and female in thefollowing categories: 10 and Under, 11-15, 16-19, 20-29 30-39, 40-49, 50-59, 60-69, 70 and over. Entry Fees: (all entry fees are non-refundable/ non transferable) $25 through February 12 $30 February 13 - February 19 $35 Day of Race (cash or check only) 10th Annual Greater Maitland 5K Saturday, February 21, 2015 T-Shirts: All pre-registered participants will receive a special event moisture wicking tech tee. Gender specific sizing available if registered by February 1. Day of race registrants are not guaranteed a shirt size. www.RaceTimeSports.com $25 through February 12 $30 February 13 - February 19 $35 Day of Race First Name Youth (14 and under) Senior (60 and over) $20 through February 19 OFFICIAL USE ONLY $35 Day of Race Date of Birth (mm/dd/yy) Apt/Suite # Address (street) City State Zip Code Age Method of Cash Check Amount Enclosed Payment Male Female Shirt Size S M L XL XXL L XL Women’s Phone Email Address S M All Checks Payable to: Orangewood Church INCOMPLETE OR UNSIGNED ENTRY FORMS WILL NOT BE ACCEPTED. By indicating your acceptance, you understand, agree, warrant and covenant as follows: As a condition of my entry being accepted I intend to be legally bound and do hereby for myself, my heirs, and executors, waive and release all rights and claims for damages which may hereafter occur to me against Race Time Sports Inc., Orangewood Church PCA, Event organizers, Event Beneficiaries and their agents, representatives, successors, assignees, and sponsors from any and all claims or liability of any kind that may arise from my participation in the this 5K event, even though that liability may arise our of negligence or carelessness on the part of the releasees. If I should suffer injury or illness, I authorize the officials of the event to use their discretion to have me transported to a medical facility and I take full responsibility for this action. I attest that I am physically fit and hereby grant full permission to any and all of the foregoing to use photographs, video tape, motions pictures, recordings, or any other record of this event, with my likeness for any purpose whatsoever. I also understand that by registering for this event I may receive notification aboout future events via the information I provide. I AM OF LEGAL AGE AND I HAVE READ AND UNDERSTAND THE ABOVE RELEASE AND UNDERSTAND THAT I AM ENTERING THIS EVENT AT MY OWN RISK. Signature Required Parent or Guardian Signature required if under 18 years of age