3rd Annual Tippecanoe Trail & Mud Run Saturday November 22, 2014

Charlotte County Community Services Presents the...
3rd Annual Tippecanoe
Trail & Mud Run
Saturday
November 22, 2014
Tippecanoe Environmental Park
2400 El Jobean Road, Port Charlotte, FL
Check-In begins at 7:30 a.m.
10K Trail Run 8:30 a.m. First Wave Start (may be modified)
5K Trail Run 9:30 a.m. First Wave Start (may be modified)
1 Mile Adult Walk and Kids Fun Run (12 & Under)
Starts at completion of 5K & 10K Runs
BEWARE THE OBSTACLES!
Teeter Walk
Muddy Tires
FUN FOR THE ENTIRE FAMILY
Visit the Charlotte Harbor National
Estuary Program’s
Nature Festival after the run!
Spider Web
Sand Run
The Hurdler
The Climb
Water Cannon
The Maze
Muddy Trails
Hay Bale Wall
Cargo Dome
Culvert Crawl
GREAT AWARDS, PRIZES AND MORE!
Medal awards in 10 Age Groups for 5K & 10K (min. age 10)
Team awards for top 3 overall in 5K & 10K
Corporate Challenge Discounts
Participants registered by November 12
guaranteed an official
Race Dry Fit T-Shirt
Post race entertainment & food
Chip timing
& More!
REGISTER BY
OCTOBER 15, 2014
FOR BEST VALUE!
REGISTER AT ACTIVE.COM
The 3rd annual Tippecanoe 5K & 10K Trail Run is a community event
promoting environmental awareness and helps Charlotte County
protect some of our most valuable natural resources parks like Tippecanoe Environmental Park.
Visit www.CharlotteCountyFL.gov or call 941.613.3220
for additional event information.
An event of Charlotte County Government
THANK YOU TO OUR SPONSORS!
Some Tippecanoe Features
Over 350 acres of natural Florida wildlands
Nesting osprey and bald eagles
Historical middens dating back 2,500 years
100+ varieties of birds
Home to a family of Florida scrub jays
Contains over 7 miles of nature trails
Registration Fees:
Price
Prior to 5:00 p.m. October 15, 2014
Kids Fun/Adult Walk-Run (No online registration for Fun Run) $10.00
5K/10K Trail Run
$40.00
3 Person Team (at least one female)
$115.00
The Parrot
Select One
Kid / Adult
5K / 10K
5K / 10K
October 16 - November 21, 2014
Kids Fun/Adult Walk-Run
$15.00
5K/10K Trail Run
$45.00
3 Person Team (at least one female)
$130.00
Kid / Adult
5K / 10K
5K / 10K
CORPORATE DISCOUNT (5 or more participants from your business)
Deduct $5.00/person from 5K or 10K run fees.
Deadlines still apply.
SUBMIT ALL ENTRIES TOGETHER TO RECEIVE DISCOUNT
Day of Race
Kids Fun/Adult Walk
5K/10K Trail Run
3 Person Team (at least one female)
Solid Waste
Division
Entertainment Magazine
$15.00
$55.00
$160.00
Kid / Adult
5K / 10K
5K / 10K
Business Name ________________________________________
Waiver/Release of Liability
1. Last Name
Your Other Team Members’ Names
First Name
Age
M/F
2. Last Name
First Name
Age
M/F
In consideration for Charlotte County through its Community Services
Department providing facilities, instruction, and/or supervision in the
program listed above, the Undersigned does hereby release and hold
harmless employees or agents of Charlotte County and the Board of
County Commissioners from any and all liability, existing now or in the
future, suffered or caused by the Undersigned or the Child/Ward of the
Undersigned, while said Undersigned or said Child/Ward is engaged in
any program connected with the Charlotte County Community Services
Department. The Undersigned requests permission to participate in the
program with full knowledge that said program could result in damage or
injury to the Undersigned or Child/Ward of the Undersigned and assumes
all risk of possible damage or injury involved through participation in the
above noted program.
Your Entry Information
First Name
Last Name
Address
City
Phone
Cell Phone
Birth Day (DD/MM/YYYY)
Age on Race Day
State
Zip
Male
Female
I understand that program participants may be photographed/videoed
by the Charlotte County Community Services Department and the local
media for publicity of the program.
Email
Shirt Size (Circle One) XS S M L XL XXL XXXL (Add $5) Kids M Kids L Estimated Finish Time
5K / 10K
Signature Acknowledging Waiver of Liability
(Parent or Guardian must sign if under 18 years of age)
Method of Payment
Check: Make payable to Charlotte County Board of County Commissioners (B.C.C.)
Master Card
Visa
Credit Card #
Card Holder Name (Please Print)
Printed Name
Date
(NO CASH PLEASE)
Exp. Date
Card Holder Signature
One entry form per individual. Entries received after 5:00 p.m.
on 11.12.14 will not be guaranteed a race shirt or Goodie bag.
Online Registration Powered by Active.com
or mail with payment to:
Charlotte County Community Services
Attention: Tippecanoe Trail Run
2300 El Jobean Road
Port Charlotte, FL 33948