registration form - JUBILEE Run for Cancer

DOB (MM/DD/YYYY)
If yes, year first diagnosed ______
Female
(XS-5XL)
Adult Shirt Size:
(M-XL)
(
)
Are you the Team Captain? Yes / No
Zip Code
Total Enclosed $
Daytime Phone
Team Name, If on a team
State
Youth Shirt Size:
Apt. No.
(PARENT OR GUARDIAN MUST SIGN IF UNDER 18 YEARS OF AGE)
With Shirt Option Without Shirt Option
Until February 28, 2015
$10.00
$8.00
March 1, 2015 to March 31, 2015
$12.00
$10.00
April 1, 2015 to May 8, 2015
$15.00
$13.00
Late Registration May 15, 2015
$20.00
Registration Day of Event, May 16, 2015
$25.00
IMPORTANT NOTE: SHIRTS GUARANTEED ONLY ON REGISTRATIONS RECEIVED BY MAY 8, 2015
1-Mile Honor/Memory Walk
With Shirt Option Without Shirt Option
Until February 28, 2015
$15.00
$12.00
March 1, 2015 to March 31, 2015
$18.00
$15.00
April 1, 2015 to May 8, 2015
$20.00
$17.00
Late Registration May 15, 2015
$25.00
Registration Day of Event, May 16, 2015
$30.00
8k Run
2015 Registration Pricing Schedule
Signature:
Date:
In consideration of my acceptance as a participant in the JUBILEE RUN(s), I hereby, for myself, my heirs, executors, administrators and assignees release and hold harmless all sponsors and their
agents, servants and employees, Montgomery MultiSport, Jubilee Run for Cancer volunteers, the City of Montgomery and its representatives, employees and offi cials from any actions, losses and damages incurred by
me or arising out of any connection with my participation in the aforementioned JUBILEE RUN(s). I warrant that I am physically fit and have trained sufficiently for the event.
PLEASE READ AND SIGN:
Mark If Cancer Survivor
Male
Last Name
A separate entry form must be completed if participating in more than one
race. Application must be completed in it entirety or it will not be accepted.
Additional Donation to Relay for Life $
Category 8K Run 1-Mile Walk Email Address
City
Mailing Address
Total for Run Fee = $
Age (Race Day)
First Name
REGISTRATION (Please Print)
Jubilee
RUN FOR CANCER
BROUGHT TO YOU BY
Alfa Life
®
SPONSORED BY:
Printing provided by Davis Direct
Let’s celebrate LIFE and honor our survivors! We will
have a Survivor’s Tent, as well as awards for the Fastest
Cancer Survivor (Male and Female) and the Longest Cancer
Survivor (Male and Female), at the event. You can help by
fundrasing. You can run or walk as an individual or create
a team, but all can fundraise. If you register for the run at
Active.com, you may fundraise directly from there. If you
choose to register by paper, you have choices. Visit the
fundraising page at JubileeRun.org for all the information
you’ll need.
Registration & Entry Fees:
Awards:
• Online registration available online at
MontgomeryMultisport.com, JubileeRun.org or
Active.com.
• A separate form is required for each person entering and
for each event (8K & 1-Mile).
• All fees are non-refundable. Checks should be made out to
MMS Charities, a 501c (3) entity. Mail entry form and fee
to:
• 8K OPEN DIVISION:
Top 3 Male and Female Overall Finishers
Jubilee Run for Cancer
P.O. Box 20321
Montgomery, AL 36120
Schedule of Events:
Jubilee
RUN FOR CANCER
BROUGHT TO YOU BY
Alfa Life
®
37th Annual
Join runners and walkers from across the River Region
as they participate in Montgomery’s oldest running
event. Jubilee’s Run for Cancer will be held on May 16,
2015, at Old Alabama Town and benefits the American
Cancer Society’s Relay for Life. The event features a
competitive 8K run as well as a 1-Mile Honor/Memory
Walk for the entire family.
The race is conducted through the efforts of
dedicated volunteer employees and friends of Alfa
Life Insurance and Montgomery MultiSport. Visit
MontgomeryMultisport.com for more information.
Friday, May 15
• 1 p.m. to 7 p.m. — Packet pick-up and late registration at
Old Alabama Town, 301 Columbus Street.
Saturday, May 16
• 6 a.m. to 7:15 a.m. at Old Alabama Town (All Races)
-- Packet pick-up for registered runners.
-- Day of race registration.
• 7:30 a.m. — 8K START
• 8:45 a.m. — 1-Mile Honor/Memory Walk START
Note: Awards Ceremony will follow the completion of the 8K
Race and 1-Mile Walk.
Race Information:
• COURSES: All courses will be well-marked, and safety
monitors will be stationed at all turns. View race courses
online at JubileeRun.org.
• SPLITS: Splits will be called at each mile.
• AID STATIONS: Water stations will be located along the
courses.
• TRAFFIC: Traffic control will be provided by the
Montgomery Police Department.
• MEDICAL: Medical support will be provided to assure the
safety of runners.
• CHIP TIMING: The 8K is a chip timed event. All awards are
based on race gun time per USATF Rule 245.1.
Entry Deadline:
Early registration entries must be postmarked by May 8.
NOTE: T-shirts are guaranteed only for registrations
received by May 8. Late entries will receive shirts
while supplies last.
NOTICE: Due to insurance purposes, unregistered
runners, unauthorized vehicles, bicycles,
skateboards, rollerblades, strollers, baby joggers
and other wheeled devices, animals, and the
wearing of headphones are strictly prohibited in
the 8K race.
Race Packets: Race packets will not be mailed. They will
be available for pick-up May 15 (1 - 7 p.m.) at Old Alabama
Town (301 Columbus Street) and on race day, May 16, from
6 a.m. until 7:15 a.m. Packets will contain race instructions,
official race number and Jubilee Run T-shirts.
Race Numbers: Race numbers must be worn visibly on the
front of the runner for the duration of the race. Failure to
do so will result in disqualification.
Race Contact: For race information, contact Hardy Sellers at
(334) 356-7271 or by email at JubileeRun@gmail.com.
• 8K MASTERS DIVISION:
Top Male and Female (age 40 and over)
• 8K GRANDMASTERS DIVISION:
Top Male and Female (age 50 and over)
• 8K AGE DIVISION AWARDS:
Male and Female - Awards to first 3 overall finishers.
Awards 3-deep in the following age divisions:
00-09, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44,
45-49, 50-54, 55-59, 60-64, 65-69, 70+.
Special Category Awards:
• TOP INDIVIDUAL FUNDRAISER
• TOP FUNDRAISING TEAM
• FASTEST CANCER SURVIVOR (MALE & FEMALE)
• LONGEST CANCER SURVIVOR (MALE & FEMALE)
• FASTEST TEAM (5 MEMBER MINIMUM)
• SPIRIT AWARD FOR THE LARGEST TEAM
Note: No Duplication Of Awards!
Results: Race results will be posted as soon as available on
the Montgomery MultiSport website. Complete unofficial
8K results will appear in the Sunday Edition (May 17) of the
MONTGOMERY ADVERTISER.
Refreshments: Water, soft drinks, fruit and snacks will be
available at the finish line. PLEASE, NO PERSONAL COOLERS
ALLOWED.