Age Group Awards: First Three Male and Female Runners in each...

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Overall Awards: First, Second, and Third Overall Male and Female Runners Age Group Awards: First Three Male and Female Runners in each category. 14 & under, 15-19, 20-29, 30-39, 40-49, 50-59, 60+ Race Application Please fill out and mail this application to: Running for Rachel 245 School House Rd, Palmyra, PA 17078 Checks can be made payable to Running for Rachel A $25 entry fee per runner/walker must be included, postmarked no later than 4/6/14. After 4/6, the fee is $30. Each runner must have a separate application - feel free to photocopy this one! Net proceeds of this event will be used to develop novel drugs for gastrointestinal cancers, including duodenal cancer, using tissue removed from patients operated on at the GI Oncology and HBP Section of the Surgery Branch, CCR/NCI, Bethesda, MD. Online Registration www.parunners.com until midnight April 23, 2014 (nominal service charge applies) Course Description: The five kilometers (3.1 miles), relatively flat out and back course along the Susquehanna River is accurately measured and certified. The race starts and finishes at the Walnut Street Bridge on City Island. 25 Station Road, Harrisburg, PA 17101 Timing and Scoring by PaRunners. Registration: Pre-registration fee: $25 Online Registration: www.parunners.com Or make checks payable to Running for Rachel, postmarked by 4/6/14. After 4/6/14, entry fee is $30. Race Day Registration & Packet Pickup: City Island Carousel Pavilion from 7:30 - 8:45 All preregistrants will receive a Running for Rachel T-shirt and Race Goodie bag. T-shirts are not guaranteed for race-day registrants with limited quantities available on race day. Please register early! Name: Phone: Race Day Age: Address: City, State, Zip: Email address: Run or Walk Male or Female Tshirt size: XL LG MED SM I can’t attend but I will make a donation in the amount of: Waiver: I know that running and walking a trail race is potentially hazardous activ- ity. I should not enter unless I am medically able and properly trained. I assume all risks associated with my voluntary participation in this event. Having read this waiver and knowing these facts and in consideration of your accepting my entry fee I, for myself, and anyone else who might claim on my behalf, covenant not to sue and WAIVE, RELEASE AND DISCHARGE Running For Rachel, the City of Harrisburg, NIH, and all sponsors, their representatives and successors, for all claims or liabilities of any kind arising out of, or in the course of my participation in this event. I further grant full permission to the above mentioned sponsors, organizers and or agents authorized by them, to use any photographs, videotapes, recordings or other record of the event for any reasonable purpose. Signature: (Guardian Signature if Under 18)

Transcript of Age Group Awards: First Three Male and Female Runners in each...

Page 1: Age Group Awards: First Three Male and Female Runners in each category.runningforrachel.myevent.com/.../File/brochure_inside.pdf · 2014. 1. 29. · Age Group Awards: First Three

Overall Awards: First, Second, and Third Overall Male and Female Runners

Age Group Awards: First Three Male and Female Runners in each category. 14 & under, 15-19, 20-29, 30-39, 40-49, 50-59, 60+

Race ApplicationPlease fill out and mail this application to:Running for Rachel245 School House Rd, Palmyra, PA 17078Checks can be made payable to Running for RachelA $25 entry fee per runner/walker must be included, postmarked no later than 4/6/14. After 4/6, the fee is $30. Each runner must have a separate application - feel free to photocopy this one!

Net proceeds of this event will be used to develop novel drugs for gastrointestinal cancers, including duodenal cancer, using tissue removed from patients operated on at the GI Oncology and HBP Section of the Surgery Branch, CCR/NCI, Bethesda, MD.

Online Registrationwww.parunners.com until midnight April 23, 2014(nominal service charge applies)

Course Description: The five kilometers (3.1 miles), relatively flat out and back course along the Susquehanna River is accurately measured and certified. The race starts and finishes at the Walnut Street Bridge on City Island.25 Station Road, Harrisburg, PA 17101Timing and Scoring by PaRunners.

Registration: Pre-registration fee: $25

Online Registration: www.parunners.com Or make checks payable to Running for Rachel, postmarked by 4/6/14. After 4/6/14, entry fee is $30.

Race Day Registration & Packet Pickup:City Island Carousel Pavilion from 7:30 - 8:45All preregistrants will receive a Running for Rachel T-shirt and Race Goodie bag. T-shirts are not guaranteed for race-day registrants with limited quantities available on race day. Please register early!

Name:

Phone:

Race Day Age:

Address:

City, State, Zip:

Email address:

Run or Walk Male or Female

Tshirt size: XL LG MED SM

I can’t attend but I will makea donation in the amount of:Waiver: I know that running and walking a trail race is potentially hazardous activ-ity. I should not enter unless I am medically able and properly trained. I assume all risks associated with my voluntary participation in this event. Having read this waiver and knowing these facts and in consideration of your accepting my entry fee I, for myself, and anyone else who might claim on my behalf, covenant not to sue and WAIVE, RELEASE AND DISCHARGE Running For Rachel, the City of Harrisburg, NIH, and all sponsors, their representatives and successors, for all claims or liabilities of any kind arising out of, or in the course of my participation in this event. I further grant full permission to the above mentioned sponsors, organizers and or agents authorized by them, to use any photographs, videotapes, recordings or other record of the event for any reasonable purpose.

Signature:(Guardian Signature if Under 18)