- d 2n nualn A in the Our Second Year! April 25, 2015 www.ckpark.org/5k For More Info or to Register Online SATURDAY APRIL 25, 2015 RACE START TIME: 8:30 AM AT CROSS KEYS COMMUNITY PARK 785 BERLIN ROAD, NEW OXFORD, PA RACE DAY REGISTRATION BEGINS AT 7:30 AM SPREAD THE WORD! REGISTRATION FEE: $20 Individual ($25 late registration, day of race) $25 Individual plus 1 dog $10 Cat Nappers Club We cordially invite you to participate in the 2nd annual Bark in the Park 5K to help support the Cross Keys Community Park development project. This event will raise needed resources to help in funding Phase II of the park construction, specifically a designated dog park facility. Cross Keys Community Park is a local, non-profit organization with a goal to positively impact the community by creating recreational, environmental and educational opportunities. The event will begin at 8:30AM with prizes given for top qualifiers in each age group. Dog owners can register their pets to participate, as well. Locally Sponsored By: Without the generous support of these businesses this event could not take place! Your Logo will be placed here, on the official registration form with other sponsors and other promotional items as well! - d 2n nualn A in the Our Second Year! April 25, 2015 at Cross Keys Community Park, New Oxford, PA Registration Form SATURDAY, APRIL 25, 2015 RACE START TIME: 8:30 AM REGISTRATION BEGINS AT 7:30 AM Name: _____________________________________________________ E-Mail Address: ____________________________________________ Phone Number: _____________________________________________ Address: ___________________________________________________ City: __________________________ State: _______ Zip: ___________ Sex (circle one): Male Female Age on Race Day: ________ Registration Fees: Amount Paid: $ __________ $20 Individual ($25 after April 14, 2015) $25 Individual plus 1 dog $10 Cat Nappers Club (T Shirt Only- Non-Participant) T-shirt size (circle one): Adult S M L Child S M L Prizes will be awarded to 1st, 2nd and 3rd place male and female finishers in each age group. Age groups are as follows: 12 and under, 13-18 yrs., 19-29 yrs., 30-39 yrs., 40+. Every participating dog receives a bandana and treat at the finish line. XL I decline a T-shirt (Please allow my full race registration to go to Cross Keys Community Park ) Race Route: The Bark in the Park 5K will be an all-road course that starts and finishes at Cross Keys Community Park (785 Berlin Rd, New Oxford, PA). Mile markers, signs and volunteers will guide racers. Please list any allergies: _____________________________________________________________________________________________ Please list any health concerns or conditions: __________________________________________________________________________ Please check to indicate understanding: Liability Waiver and Photo Release: In consideration of acceptance of this entry to the Bark in the Park 5K Race, I waive all claims for myself, heirs, and assigns against the sponsors, cooperating groups, and/or any individual associated with the event, and will hold them harmless of any and all injuries or illnesses that may result from my participation. I further state that I am in proper physical condition to participate in this event. I also hereby give my permission to use my name and/or photo in any media coverage without obligation to compensate me. Race Rules: • • • • • • • Participants must stay on the race course Registration Fee is Non-Refundable Bib Number must be placed on the FRONT of your shirt All participants MUST be in line by 8:20 am Walkers, children, participants with dogs will begin behind runners Participants must follow instructions of course officials/volunteers Only registered runners/walkers are permitted to participate • • • • • • • MP3, iPod and other music devices are strongly discouraged Prizes will be announced immediately after the completion of race All dogs must be leashed (no flex leashes) No aggressive dogs 1 dog per participant Must present proof of vaccination upon registration Must clean after your own pet Signature: _____________________________________________________________________________ Date: ___________________ * Please make checks payable to Cross Keys Community Park and send form and fee to Cross Keys Community Park, Attn: Brita Byers, 785 Berlin Rd, New Oxford, PA 17350. Questions or concerns may be directed to Brita Byers or Tracy Miller at 717.624.8660. Pre-race registration is DUE BY April 14, 2015 to be guaranteed a t-shirt. Race day registration will be $25 for all applicants, registration opens at 7:30am and closes at 8:15am. Race day registrants are not guaranteed a t-shirt.