July 7, 2010
MASON 5K RUN/WALK
WITH KIDS 1K FUN RUN
Saturday, July 31, 2010
All proceeds benefit Mason Running Boosters Organization which supports Mason High School Cross Country and Track and Field teams.
Where: Pine Hill Park, Mason Ohio (211 Kings Mills Road). Course winds through the park on paved paths.
When:Saturday, July 31, 2010
7:30 to 8:45 Registration & Packet Pickup
9:00 AM 5K Run
9:02 AM 5K Walk
10:00 AM 1K Kids Fun Run
Awards: Top 2 runners in each age and gender group will be recognized (<14, 15-18, 19-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-59, 60-69, 70 & over). All 1K runners receive a medal.
Early registration must be postmarked by
July 24, 2010.
$25 5K entry fee (with shirt) __________
$15 5K entry fee (without shirt) __________
$30 5K race day registration __________
$20 5K race day registration __________
$5 1K Kids Fun Run ___________
Checks payable to: Mason Cross Country Track and Field Boosters
T-shirt Size: S M L XL XXL
Last Name _____________________________
First Name _____________________________
City ______________ State____ Zip ________
Daytime Phone _________________________
Sex _________ Age (on 7/31/10) ___________
WAYS TO REGISTER
Online registration closes 7/28/10
Mail: Mason 5K Run/Walk
c/o Steve Prescott
PO Box 454
Mason, Ohio 45040
Deadline for mail in registration is 7/24/10
Race Day: Stop by the registration booth at
Pine Hill Park
Waiver: In consideration of the acceptance of my entry, I hereby waive, on behalf of my heirs, executors and assigns, all claims of any nature arising from my participation in the Mason 5K Run/Walk and do hereby release Steve Prescott, all sponsors, workers, officials and volunteers from any claim whatsoever arising from my participation in this event. I agree to abide by all the rules of participation and acknowledge that the Race Committee may refuse or return my entry at its discretion. I understand the risks for such a run and have trained adequately in preparation for the run. I HAVE NOTED ANY MEDICAL CONDITION on this form next to my signature. I will permit the use of my name and picture participation in this event. I understand this event is not associated with the Mason City Schools.
Signature _____________________Date: _____
Parent/Guardian (if under 18) _______________
Health Concerns _________________________
Emergency Contact ______________________
Phone Number __________________________