15th Annual FRUITLAND PARK’S LOVE WEEK 5K/WALK DATE/TIME/LOCATION Saturday, Feb. 14, 2015. 5K Run starts at 8 A.M. Registrations at the CASINO BUILDING will be accepted from 6:40 A.M. to 7:40 A.M. Physical Address is 604 W. Berckman St, Fruitland Park, FL 34731 COURSE DRC Sports Athletic Event Management will use chip timing with a large display clock, and post results. The out and back course will remain the same as last year. We will begin and end at the Casino Building. A run around Mirror Lake and a hill make this a challenging run through a residential area. See the race course map on the back. AWARDS Overall 5K male and female winners, plus top 3 males and females in standard age categories (5-year increments, 9 & under, to over 80); 1st place M & F: 19 & under, 20+, 30+, 40+, 50+, 60+, 70+ T-Shirts guaranteed to all pre-registered participants. Register by February 1st to ensure a shirt. POST RACE PARTY Refreshments are available for runners/walkers & volunteers. Contact the Recreation Department at 352-516-9149 for more information. Register online at raceroster.com (search love week). Mail check payable to City of Fruitland Park by January 26th postmark to: City of Fruitland Park, 506 West Berckman St. Fruitland Park, Florida 34731. No refunds! City website: www.fruitlandpark.org Clip and Mail to : City of Fruitland Partk, 506 W. Berckman St. Fruitland Park, FL 34731: Checks payable to: City of Fruitland Park REGISTRATION FORM REGISTER ONLINE @ RACEROSTER.COM / FEBRUARY 14, 2014 Please Print Name (1st, mid. last) ______________________________________________________ Phone_______________________ Address______________________________________City____________________ ____State______ Zip_____________ E-mail address_____________________________________________________________ Sex: M F Age on Race Day________ Birth date __________________ T-Shirt Size: S M L XL XXL XXXL CHECK EVENT: 5K RUN___ Amount paid $_______ 5K Race Day entry fee is $25 (no checks will be accepted on day of race, CASH ONLY). $20 early fee accepted until February 1st deadline. If paying by check, please include Driver’s License #________________________________________State__________ By submitting this entry form and in consideration of the acceptance of this entry form by the City of Fruitland Park, I both for myself and for my heirs, personal representatives and assigns, hereby release and forever discharge the City of Fruitland Park, its officers, employees, agents, DRC Sports Athletic Event Management, Heritage Community Church, and any other sponsors from any claims for loss or injury that I may have against them in connection with this event. Further, I, both for myself and for the parties set forth above, agree to indemnify and hold the City of Fruitland Park harmless from any and all claims or demands asserted against it in connection with my participation in this event, including attorney’s fees. If they should suffer such injury or illness, I authorize the officials of this program to use their discretion to have me/them transported to a medical facility and I take full responsibility for this action. Shirts/Goodie Bags will be forfeited by no-shows. Signature of Entrant_______________________________________________________________________Date_______________ Signature of Parent or Guardian if under age 18____________________________________________________________________ Start at Heritage Community Church, continue East on West Berckman, South on West Mirror Lake Dr. Continue on Mirror Lake Drive to Berckman, West on Berckman, North on College Avenue, East on Fountain Street, with a turn around at American Legion and continue back the same route. TURN AROUND START Heritage Community Church
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