February 14, 8 AM Christina's Courage 5K, KW Sheriffs Headquarters

SaturdayFebruary14,20158:00a.m.
@SheriffHeadquartersBuilding
5525CollegeRoad,KeyWest
ProceedswillhelpfundChristina’sCourageRapeandChildAbuseCenter
EntryFee
AdvancedRegistration$25Add$5onRaceDayAges15andunder$15
FreeT‐shirtsforthefirst100EntrantsPost‐RaceRefreshments
Registration
MailbyFebruary9thorOnlineatsouthernmostrunners.comtillMidnightFebruary12th
OnFridaythe13thfrom5‐7,registrationwillbeheldattheSheriff’sOfficeundertheHeadquartersBuilding,locatedat5525
CollegeRoad,KeyWest.Racepackscanbepickedupatthistime.
OnRaceDay,February14th,Registrationopensat7amuntilthestartoftheraceat8am.
TheAwards
FirstPlace‐‐Male/FemaleOverallOverallMasters(over40)First‐‐Male/Femaleineachagecategory
AgeDivisions:9andUnder,10‐14,15‐19,20‐29,30‐39,40‐49,50‐59,60‐69,70+Walkers‐‐Male/Female
First,Second,andThirdOverall
TheCourse
Flat,fast5K(3.12Mile)coursestartingandendingattheSheriff’sHeadquartersOffice,5525CollegeRoad,KeyWest.Thecourse
willopenfor60minutesafterthestart.CollegeRoadwillbeclosedononesideonly,youmuststayinthatlanesincetherewillbe
trafficcomingintheotherdirection.
RacePackagePickup
PickupracepacketsattheMonroeCountySheriff’sOfficelocatedat5525CollegeRoad,KeyWestfrom5pmto7pmonFebruary
13th,oronthedayoftherace,February14th,from7amtostartoftheraceat8am.
2015Christina’sCourage5K*CheckOne:MaleFemale*CheckOne:RunnerWalker
Name____________________________________________________DateofBirth____________________Age____________
StreetAddress___________________________________________________________________________________________________
Town_________________________________________State________Zip__________Phone()_______________________
E‐mailAddress_____________________________________________________________________________________________
T‐ShirtSize(circleone):SMLXKWSRMember(circleone):YN
AdditionalDonationto,Christina'sCourage$____________________________
Iknowthatrunning/walkingarepotentiallydangerousactivities.Ishouldnotentertherun/walkunlessIammedicallyableandproperlytrained.Iagreetoabideby
thedecisionoftheraceofficialregardingmyabilitytocompletetherun/walk.Inconsiderationofbeingaccepted,Iherebyassumealltherisksarisingoutofthisevent
andreleaseandholdharmlessthesponsors,officials,volunteers,administrators,andallotherpersonsassociatedwiththeChristina'sCourage5K,includingtheKey
WestSouthernmostRunnersClub,MonroeCountySheriffOffice,FloridaDept.ofTransportation,MonroeCounty,andtheCityofKeyWestfromanyandallliability
claimsorcausesofactionofeverykindandnaturearisingoutofmyparticipationinthisevent.Iauthorizeofficialsoftherun/walktousetheirdiscretiontohaveme
transportedtoamedicalfacilityandtakefullresponsibilityofaction.Igrantfullpermissiontoanyandalloftheforegoingtouseanyphotography,tapes,motion
pictures,recording,oranyotherrecordofthiseventforanypurpose.Ifurtherunderstandthatmyentryfeeisnon‐refundable.Bikes,strollers,babyjoggers,skates,
skateboards,rollerblades,andheadsetsareprohibitedonthecourseduringtheevent.NOONEmayenterthiseventwithoutsigningthisofficialwaiver.
____________________________________________
___________________________________________
___________________
Signatureofentrant SignatureofParent/Guardian(ifunder18) Date
ByFebruary9thmailregistrationandcheckpayableto:
Christina'sCourage
Mail Entries To:
Christina’s Courage Board of Directors
Attention: Lissette Zuelch, President
1704 N. Roosevelt Blvd.
Key West, Florida 33040
FormoreinformationpleasecallMannyCuervo305‐797‐0064orLissetteZuelch305‐619‐0779