FIFTH ANNUAL!!!
SHAMROCK SCURRY
5K Benefit Run/Walk (10 and
Older)
& 1 Mile Fun Run (9 and Under)
DATE: Saturday, March 15, 2008
TIME: 1 Mile Fun Run: 8:15am; 5K: 8:45am (10 AND OLDER RUNNERS)
LOCATION:
(Killearn
Subdivision)
SPONSOR:
Children of Ireland
Group, Inc.
-a 501 (c
)(3) non-profit organization
PROCEEDS BENEFITING: MAKE A WISH FOUNDATION AND OTHER
THE CHILDREN OF IRELAND
GROUP, INC.
AWARDS:
BEAUTIFUL
-Awarded to top overall 1st ,2nd
& 3rd male and female runners!!
-Awards
to 1st through
5th male & female runners in
5-year age groups!!
POST RACE EVENTS:
-PANCAKE BREAKFAST FOLLOWING 5K RACE (***NOTE: $3 WITHOUT RACE #)
FURTHER INFO: Terry Ryan: terry@childrenofireland.us
or call (850) 321-9352
Return
entry forms to: TRAIL & SKI -2748
Capital
Or mail
to:
Make
checks payable to: Children of Ireland
Group, Inc. or CIG
(pickup runner packets at TRAIL & SKI Starting
Wednesday,
March 12th and By 5PM Friday, March 14TH)
PROCEEDS
BENEFITING:
And other
-----PLEASE COMPLETE,
TEAR OUT, AND DROP-OFF TO BELOW
LOCATION OR MAIL TO
BELOW ADDRESS----
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Please Circle Applicable entry
fee & circle t-shirt size (if wished):
(NOTE:
70+ FREE ENTRY FEE & PANCAKE BREAKFAST! $3 FOR T-SHIRT)
|
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PRIOR TO MARCH 7TH |
ON
OR AFTER MARCH 7TH |
SHIRT |
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|
UNDER 18 |
18 & 69 |
UNDER 18 |
18 -69 |
Circle |
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|
WITH T-SHIRT |
WITH T-SHIRT |
WITH T-SHIRT |
WITH T-SHIRT |
Small |
|
||
|
$10 |
$15 |
$15 |
$20 |
Medium |
|
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NO T-SHIRT |
NO T-SHIRT |
NO T-SHIRT |
NO T-SHIRT |
Large |
|
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|
$5 |
$10 |
$5 |
$10 |
X-Large |
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(PLEASE PRINT LEGIBLY) QUESTIONS? CALL:
321-9352
Name:__________________________________________________________
Age on 3/15/2008: _______________ Gender:_____Male _____Female
Telephone:_________________________
E-Mail:______________________________________________________
Address:____________________________________________________
City:
How did you hear about
Scurry: ___Fleetfoot
____
Fllyer at other
race __Flyer in local store
__Other____________
Please Sign the “Release &
Waiver” statement below and drop off w/check to:
TRAIL & SKI –
OR mail to: The Children Of Ireland Group, Inc.,
An
IRS 501(c)(3) Non-Profit Organization
I know that running a road
race is a potentially hazardous activity. I should not enter and run unless I am
medically able, physically fit and properly trained. I assume any and all risks
associated with this event including but not limited to falls, contact with
other participants, effects of weather, including heat and/or humidity, and
traffic and the conditions of the roads,
all such risks being known and acknowledged by me.
I agree to abide by all
decisions of the race officials relative to my ability to safely complete this
run. I agree to not wear headsets, run with dogs, baby joggers, or strollers
during the race. Knowing these facts and in consideration of your accepting my
entry, I hereby, for myself, my heirs, executors, administrators or anyone else
who might claim on my behalf, covenant not to sue, and waive, release and
discharge all The Children Of Ireland Group, Inc., race officials, volunteers
and all sponsors including their agents, employees, assigns, or anyone acting
on their behalf from any and all claims or liability for death, personal injury
or negligence or carelessness on the part of the persons named in this waiver.
This Release and Waiver extends to all claims of every kind and nature
whatsoever, foreseen or unforeseen, known or unknown. The undersigned grants
full permission to The Children Of Ireland Group
and/or agents authorized by the organization to use any photographs,
videotapes, motion picture or an other record of this for any legitimate
purpose.
Signature (parent if under 18)____________________________________________
Date:__________________________