Saturday, October 25th, 2014 Race Start at Southeastern Illinois College Is located just outside. Harrisburg, IL. 7:30 a.m. Marathon Start 7:45 a.m. Half Marathon Start www.shawneemarathon.com 2nd Annual Shawnee Marathon Overall, Masters, Grand Masters, and 3 Deep Age Group Awards. All Finishers will receive a Finishers Medal and a technical t-shirt. For more information, please contact Rebecca Wyatt Nevitt, at 618.201.6355 or e-mail [email protected] Half & Full Distances & Tomahawk 2-4 Person Relay Are you TOUGH ENOUGH? Boston Marathon Qualifier Professional Timing by Lakeshore Athletic Services Register online at Active.com Join the Harrisburg Park District for the Inaugural Shawnee Marathon ½ and Full Distances to help raise money to build a new indoor pool in Harrisburg! Not racing? Support a great cause by making a donation. Need a training plan / running coach/ lactate threshold testing? Call us! Ask for Rebecca Nevitt. 618.201.6355 Runner / Participant Info: Please Print Legibly Full Name: ______________________________________________________________________ Gender: Male/ Female Address: ________________________________________________________ Apt #: ____________________________ City: _____________________________________________ State: _____________ Zip: _________________________ Home Phone: ______________________ Other Phone: _____________________ E-mail: _________________________ Age on 10/25/2014:________________ Date of Birth: ______________________ T-Shirt Size: S M L XL XXL Emergency Contact Name: ___________________________ Emergency Contact Phone #: ______________________ Champion Chip # (if using your own chip) ________________ Register online at www.active.com Please make checks payable and mail to : The Shawnee Marathon 921 W. Poplar St. `Harrisburg, Il. 62946 618-201-6355 Phone 618-253-4511 Fax www.shawneemarathon.com Fee Schedule: Please circle the event you will be participating in: Event Name ½ Marathon    Full Marathon Half Marathon I will not be participating but would like to make a donation to the Park District Pool Fund Amount: $____________ Full Marathon ½ Marathon Tomahawk Relay 2-4 team members only Full Marathon Tomahawk Relay 2-4 Team Members only Through October 1st, 2014 $79.00 per person $129.00 per person $109.00 On or after October 2nd, 2014 $99.00 per person $149.00 per person $129.00 $159.00 $179.00 Fax in registrations only- MCard/Visa accepted: Please include your Credit Card info: CC#_______________________________________________________Exp.________ Online registration will close on Thursday, October 23th, 2014 at 12:00 midnight. Mail in registration will close on Fri., October 24th, 2014. Applications postmarked after 10/23/14 will not be processed. Race day registration will be available. I know that running and volunteering to work in races is a potentially hazardous activity. I should not enter and run the Shawnee Marathon unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running and/or volunteering to work in the Shawnee Marathon, including but not limited to falls, contact with other participants, the effects of weather, including high heat or humidity, the condition of the road and traffic on the course, all such risks being known to me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself, and anyone entitled to act on my behalf waive and release the Shawnee Marathon and all sponsors of the event, any and all members thereof, their representatives, successors from claims or liability of any kind arising out of my participation in the Shawnee Marathon even though that liability may arise out of negligence or carelessness on recordings, or any other record of this event for any legitimate purpose. By signing this waiver form, I agree that for safety reasons, headphones, strollers, baby joggers, skates, skateboards, and animals are not permitted in this event. Signed:_______________________________ If under 18, Parent/Guardian Signature______________________________________________ Date of Signature_____________/____________/__________ Showcase your company! Shawnee Marathon Health & Wellness Festival Vendor Spots and Sponsorships are available. Email [email protected] . Volunteers are needed! Call Rebecca Wyatt Nevitt, Race Director at 618.252.2111 or email [email protected] to become a volunteer!