Schoharie 5K Run/Walk April 18th 2015 Presented by S’cary Leg Runners and Schoharie Valley Teachers Association Benefits : - “Schoharie Community Pool”. April 18th, 2015 - 10 AM - Schoharie Elementary School Performance Technical Tee shirts for the first 300 Registered! Packet Pickup & Day of Registrations starting at 9AM Kids Fun Run – (register on race day 4-18-15) put on by EPTSO Awards for the top male & female finisher overall & for the first 3 male & female in each age group: 9 & under, 10-14, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+ Walker Awards for 1st Place in each age group Course is USAFT certified – Certification Code NY12022JG Active.com link - https://endurancecui.active.com/event-reg/select-race?e=12409552 Mail Registration Form and Non-Refundable Entry Fee to: Schoharie 5k Run Make checks payable to: S’cary Leg Runners 521 Rickard Hill Rd For Race Info, Course maps and additional registrations forms go to: www.sta5k.org Schoharie NY 12157 For more information contact: [email protected] or 315-427-3856 First Name Last Name Street address City State Zip Phone Email S T-shirt size (circle one) M L XL XXL Event (circle one) Run Walk Age Date of Birth Sex Students - Grades 12 and under $10 Students early registration by 3-31-2015 $15 Students registration 4-1 until day of race $20 Adult early registration by 3-31-2015 $25 Adult registration 4-1 until day of race Total $ Enclosed __________________________________________ ______________________________________________ Signature Date Signature of Parent or Guardian if under 18 Date In consideration of accepting this entry, I, the undersigned, intending to be legally bound hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I might have against the Schoharie Teachers Association, S’cary Leg Runners, the Village of Schoharie, State of New York, NYS DOT, any officials or sponsors of the race, their representatives, assessors, and assigns, for all injuries, illness or property loss suffered by me while competing in or traveling to or from this race. I attest and verify that I am physically fit and have sufficiently trained for completion of this race. REGISTRATION FEES ARE NON-REFUNDABLE
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