2008 Jingle Bell 5K
Run
Registration
Information & Form
Location:
Western Carolina University
Cullowhee, NC (at the softball picnic shelter)
Date: Tuesday November 4th, 2008
Time: 5K Race Starts at 3:30 PM
Beneficiary: All entrants must register to participate.
Entrants under the age of 18 must have a parent or guardian sign the registration form.
Entry Fees:
5K Pre-Registration = $15
5K Race Day Registration = $20
WCU Students and Area H.S. Students= $10
Phantom Runners = $10
Make Checks
Payable to:
Western Carolina Sport Management Association. All proceeds to benefit the family of Trooper Shawn Blanton and the Western Carolina University Sport Management Association
Send Payment to:
Western Carolina University
122L Reid Gym
Cullowhee, NC 28723
5K Award:
Awards will be presented to the first overall male/female and the top three males and females in each age group. Age groups are 12 and under, 13-17, 18-25, 26-39, 40-49, 50-59, 60-69, and 70 and over.
Course Information:
Detailed course description can be provided prior to the race upon request. On race day the course will be clearly marked signs and there will be volunteers providing direction and support along the course.
Restroom
Facilities:
Restrooms and showers will be provided for participants. Showers are located in Reid Gym.
Information:
For additional information contact Dr. Kevin Ayers at 828-227-3549 or email at [email protected]. We have also have a website www.geocities.com/jinglebell5k/registration
Water, Fruit,
and Hot Chocolate will be available to all 5K Registrants!!!!!!!!
______________________________________________________________________________________________________
SMA Jingle Bell 5K
Western Carolina University
November, 4th 2008. 3:30PM
Name:____________________________
Paid: Day of Race:_____
Before Race:___
Address:___________________________
I am entering the: 5K_____ Phantom Run_____
City:______________________________
Emergency Contact:
State: ___________ Name:_______________ Phone:________________
Zip/Postal
Code:___________
Male____ or Female
____ Age race day:______
Phone:____________________________
Email:______________________________
(If you would like to
pre-register mail this and your check to Kevin Ayers, 122L Reid, Western
Carolina University,
Cullowhee, NC 28723)
*PLEASE READ AND SIGN
THE BELOW RACE WAIVER IN ORDER TO BE ELIGIBLE*
Race Waiver (Please read carefully)
In consideration of the acceptance of this entry, I hereby, for myself, my heirs, executors, administrators, assigns, and anyone entitled to act on my behalf release and discharge WCU, plus sponsor, their representative and successor, prompters, managers, directors, officials, agents, employees, and volunteers of the road race named in the entry form (on the back of this panel) from any and all claims of injury or liabilities of any kind, illness, or damages, suffered by me, as a result of my participation in or traveling to or from this event. I know that running or walking a road race is a potentially hazardous activity. I should not enter and run or walk unless I am medically able to and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run or walk. I assume all risks associated with running or walking in this event, including, but not limited to, fall, contact with other participants, the effects of the weather (including high heat or humidity), traffic and the conditions of the road, all such risks being known and appreciated by me. I realize that his is a strenuous event which required proper physical conditioning. I herby certify that I am in such physical condition and good health. I also give my permission for the free use of my name and picture in any written account, broadcast or telecast of this event for any legitimate purpose.
_________________________________________ ________________________
Signature (parent or guardian if under 18) Date