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.
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