GLOW TROT 5K and 1 MILE FUN RUN Friday, May 15, 2015 RACE COURSE University of North Georgia Gainesville Campus 3820 Mundy Mill Road Oakwood, GA 30566 I mile Fun Run and Walk at 8:00pm • 5K Run and Walk at 8:30pm Registration Starts at 6:00pm - Awards at 9:30pm $25 before April 25, 2015 ($30 after April 25, 2015) Registrations accepted up to start of race Each entrant registered prior to April 25, 2015 will be guaranteed a t-shirt with “glow in the dark ink” and a glow in the dark item. All participants who register after April 25, 2015 or on race day will be first come at race site until t-shirts and glow items are gone. Glow in the Dark shoe laces are available for an additional $3.00 per pair. Shoe Laces must be pre-ordered. INDIVIDUAL AWARDS Overall Male and Female, Over all Masters and Grand Masters, Male and Female, and top 3 males and females in five year age categories starting at 10 and under and going to 70 and over. CORPORATE/COMMUNITY TEAM AWARDS Team Spirit Award Most Participation Award Register online at h%ps://runsignup.com/Race/GA/Oakwood/glowtrot Mail entry form and fee no later than April 25, 2015 to American Cancer Society, 2565 Thompson Bridge Road, Suite 114, Gainesville, GA 30501 After April 20, 2015 bring entry form and fee to race day or American Cancer Society Office NAME ____________________________________________________MALE_____ FEMALE_____ T-SHIRT (CIRCLE ONE) YS YM YL AS AM AL AXL AXXL Glow in the Dark Shoe Laces ($4.00 per pair) __________ Pair(s) ADDRESS _________________________________________________CITY ___________________ STATE ________ ZIP_____________ PHONE ( ) ________ - ____________________________ All proceeds benefit the American Cancer Society Relay For Life Hall County, in hopes of finding a CURE! Together with our millions of supporters, the American Cancer Society saves lives and creates more birthdays by helping people stay well and get well, by finding cures and by fighting back! Relay For Life is the American Cancer Society’s signature event. Relay represents the hope that those lost to cancer will never be forgotten, that those who face cancer will be supported, and that one day, cancer will be eliminated. It offers everyone in the community the opportunity to participate in a worldwide movement to end cancer. The money raised by the American Cancer Society’s Relay For Life goes to fund the research, education, advocacy and patient Services. For more information on the Relay For Life of Hall County Log on to www.relayforlife.org/hallga DIRECTIONS From I85 - Exit 129, go West on Highway 53. Go 11.4 miles and the University of North Georgia will be on your right. Traveling North From 985 take Exit 16, turn left. Traveling South From 985 Take Exit 17 keep left to Oakwood exit turn right. QUESTIONS rena.pendley@cancer.org or 770-297-1220 In consideration of acceptance of this entry I waive any and all claims for myself and my heirs against American Cancer Society Relay For Life, University of North Georgia, Race Officials and Sponsors of the Glow Trot 5K for illness or Injuries which may result, directly or indirectly, from my participation. I assume any and all risks associated with running in this Race, included but not limited to: injuries, falls, contact with other participants, contact with traffic, road conditions, course conditions, items dropped on the course, slipping and falling on water or other substances or items, effects of hot weather, effects of cold weather, effects of humidity, storms, winds, lightening, and all other risks known and appreciated by me. Having read this waiver, I, for myself and anyone entitled to act on my behalf, waive and release the American Cancer Society, Relay For Life Hall County, University of North Georgia, Race Officials, Sponsors, all city, county and state governments , their representatives and successors, from all claims or liabilities of any kind arising out of my participation in this event. I grant permission to contact by email for race related communications. I understand that all entries are final with no refunds, The official race director reserves the right in any event of emergency or local or national disaster to cancel the race or to change the day and or time to another date. In the event of cancellation or change, there is no refund of entry fees. I further state, that I am in proper physical condition to participate in this event. SIGNATURE ____________________________________________________________________ DATE _____________ If you are registering a child under the age of 18 or an incapacitated adult, you represent and warrant that you are the parent or legal guardian of the that party and have the legal authority to enter into this agreement on their behalf and, by proceeding with this event registration, you agree that the terms of this Agreement and Waiver shall apply equally to all Registered Parities. By registering a child under 18, you agree and consent to the collection of that child’s information which you provide for the purposes of registration. UNDER 18 PARENT’/GUARDIAN SIGNATURE ________________________________________DATE ______________
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