Rotary Fit 5K Presented by: The Rocky
Timer: Run Roanoke, LLC October 25, 2014 Location: Waid Park in Rocky Mount, VA Return Address 8:30AM start Rocky Mount, VA 24151 Rocky Mount P.O. Box 224 Rocky Mount Rotary Club PLACE STAMP HERE Rotary Fit 5K Presented by: The Rocky Mount Rotary Club Rotary Club 5K Fit Run email: Phone: Awards Top 3 overall males and females will receive an award ( Parent signature if under 18) Age on Race Day: For more information contact: Greg James Phone: 540-420-0345 EmaiL:[email protected] Top 3 winners in each age group will receive medals. Birth Date: To enter complete the attached application and make checks payable to: Rocky Mount Rotary Club P.O. Box 224 Rocky Mount VA Age Groups: Male and Female Categories: 9 and under/ 10-12/13-17/18-22/23-29/3034/35-39/40-44/45-49/50-54/55-59/60 and over Address: $25.00 before Oct. 1 (Performance shirt guaranteed for those who register and pay early) $30.00 after Oct. 1 And race day Packet Pickup-Friday October 24th 12-5 at Haywood’s Jewelers 346 Franklin St. Rocky Mount, VA 24151 First Name: Entry Fee: Take route 40 West from Rocky Mount. Take Right at 6 Mile Post Road. Entrance approximately 1.5 miles on left. Last Name: Date: October 25, 2014 Time: 8:30AM start Course: New 3.2 mile course at Waid Park in Rocky Mount, VA Course paid for with funds raised by the Rocky Mount Rotary Club. Ribbon Cutting at 8:00AM Signature: Directions: Shirt Size:XSm Sm Med Lg Xlg XXL Mens sizes Performance shirts guaranteed if registered by 10/1/14 Time: 8:15AM Assumption of Risk: FREE 3/4 mile loop around soccer fields I, the undersigned, do hereby waive and release myself, heirs, executors, and administrators, any and all rights and claims for damage, demands, and any other actions whatsoever that I may have against Rocky Mount Rotary Club., Franklin County Parks, Recreation, and Tourism, volunteers, & all participants in this event. I also acknowledge that I fully understand that there is a risk of injury or death in any sport and that I am physically fit and capable of competing in, and completing this event. Further, I grant permission to The Rocky Mount Rotary Club. to use any photographs, motion pictures, or other recording of the event for legitimate purposes. In addition, I understand there will be no refunds Kids Fun Run 12 and under Gender:: M F Rocky Mount Rotary Club Presents: Rotary Fit 5K Run/Walk/Kids Fun Run
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