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  • 7/29/2019 5 k Registration Form

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    Twin Valley Music 5K

    Saturday, April 20th

    : 8:00am Registration l 9:00am 5K Start Time l Kids Fun Run After 5K

    Course: Start/Finish at TVHS Cross Country Course, 4897 Twin Valley Road, Elverson, PA 19520

    Proceeds from this race will benefit Twin Valley Music Boosters. Twin Valley Music Boosters is a non-profit organization

    whose main mission is to support and connect the school districts music programs.

    $20 entry fee must be postmarked by April 3rd, 2013. ($25 after April 3rd, including race day.) T-shirts for all entrants registered by April 3 rd, all others while supplies last, including race day. Professionally timed by Pretzel City Sports, results posted on website following race Start and finish at Twin Valley High School Track, cross country course Registration begins at 8:00a.m., 5K at 9:00a.m., fun run at 9:45a.m. Rain or shine event, no refunds under any circumstances Awards presentation following the race Age Groups: 60+, 50-59, 40-49, 30-39, 20-29, 15-19, 10-14, 9 & under Winners must be present to receive awards.

    Visit us on Facebook: www.facebook.com/TwinValleyKeepingTheBeat5K

    Race Application

    Name: ________________________________________________________ DOB: ____________________ M / F

    Address: __________________________________________________________________________________

    Phone:____________________________________ Email: _________________________________________

    Emergency Contact Name and Number: _________________________________________________________

    T-shirt Size: S M L XL XXL Youth S Youth M

    Participating in: (select one) 5K ($20 before April 3rd / $25 after) ____, Fun Run ($2) ______, Fun Run w/shirt ($12) _______

    Mail Application to Jennifer Tennant, 3 Center Ave, Morgantown, PA, 19543. Checks payable to Twin Valley Music Boosters

    Optional Online Registration atwww.pretzelcitysports.com(closes at midnight, Wed Apr 17, nominal service fee applies)

    Waiver I acknowledge that running or walking in a 5K race and/or fun run can be a potentially hazardous activity. I hereby fmyself, heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue and waive, release anddischarge the Twin Valley Music Boosters, Twin Valley School District, Pretzel City Sports and any sponsors or volunteers. This waivextends to all claims of every kind or nature whatsoever, unforeseen, or unknown. I claim responsibility for taking part in this event.

    Signature: ____________________________________________________ Date: _____________________(under 18 requires signature of parent or guardian)

    Make a donation or get more information from our Race Director, Jennifer Tennant, at

    [email protected] or 610-850-5240.

    http://www.pretzelcitysports.com/http://www.pretzelcitysports.com/http://www.pretzelcitysports.com/mailto:[email protected]:[email protected]://www.pretzelcitysports.com/