1 Mile TRACK RACE 6:30PM Wednesday, August 5, 2015 Crosby Field, Kenmore, NY 3rd ANNUAL Greater Buffalo Track Club Part of The Runner’s Roost 1 Mile Challenge Race: A 1 Mile track race held at Crosby Field in Kenmore, NY. This race is part of the inaugural “The Runner’s Roost 1 Mile Challenge Series”. The GBTC Mile will be raced in heats, starting at 6:30PM. The faster heats will run later, slower heats first. Chip timing by ScoreThis. For more information on the series go to: www.score-this.com/1milechallenge Location: Crosby Field, 136 Crosby Ave, Kenmore, NY 14217-2454 (at the intersection of Colvin Blvd. and Crosby Ave.) Entry Fee: $15 through August 4 ($12 for GBTC, Checkers & Lancaster Striders members) Race Day: $18 ($15 for GBTC, Checkers & Lancaster Striders members). Registration Fees are non-refundable and non-transferable. Guaranteed Quality cotton shirts to first 50 registrations. Online registration available at: www.Score-This.com Post race refreshments. Packet Pick-Up Race day only at Crosby Field, starting at 5PM Awards: First male and female finishers (Overall), first masters male and masters female and first place in 5 year age groups . (PLEASE PRINT) LAST NAME_______________________________FIRST NAME_______________________M.I.______ ADDRESS_________________________________________________________________________ TOWN/CITY____________________________________________STATE/PROVINCE_________ ZIP/POST CODE_________________ EMAIL______________________________________________ M ___ F ___ AGE (DAY OF RACE) ________ PHONE: (_____) __________ - _______________ ENTRY FEE: $15 through AUGUST 4 ($12 for GBTC, Checkers & Lancaster Striders members); Race Day $18 AUGUST ($15 for GBTC, Checkers & Lancaster Striders members). _______________ T-shirt: SIZE: S M L XL XXL No Shirt Please submit an estimated 1 mile finishing time (road or track). This will help us with placing you in the proper heat. Time:______________________________ Runner’s Signature:______________________________________________________________ Parent or Guardian Signature (if under 18): ___________________________________________ Waiver must be signed for entry acceptance In registering for Greater Buffalo Track Club’s 5000 meter race I state that I fully understand and assume the risk and responsibility for participating in an athletic event. I hereby state that I am fit to participate. I also waive all claims for myself, and for anyone acting on my behalf, against the Greater Buffalo Track Club, any and all sponsors, the town of Kenmore, Ken-Ton School District. County of Erie, State of New York and NY State Dept. of Parks for damages that might result from my participation therein. If I am injured or taken ill, I hereby authorize race officials to transport me to a medical facility and/or to administer emergency medical treatment and waive all claims for damages that might result from such transport and/or treatment. I also agree to provide certain medical data to race officials to expedite such treatment. Make checks payable and send to: Greater Buffalo Track Club, PO BOX 983, GRAND ISLAND, NY 14072 Questions: Contact the Race Director at briancmcelroy@gmail.com
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