ONLINE: MAILING DEADLINE: SEPTEMBER 2, 2014 - Semper Fi Fund

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Official Entry Form: Cow Harbor Warriors PO Box 204 Northport, NY 11768 ONLINE: cowharborwarriors.com MAILING DEADLINE: SEPTEMBER 2, 2014 Entry fee - $25.00 (please print clearly) Name: ___________________________________________________ Address: _________________________________________________ Town:______________________ State: _________ Zip:___________ Phone: _______________________________ Email: ____________________________________________________ Age as of 9/8/2012: _____________ Sex (please circle) M - F D.O.B.______/______/_______ Wounded Warrior: Y (Wounded Veteran) T-shirt size (please circle): S - M - L - XL Date _______/______/_______ 4-Mile Warrior Run -$25 $______________________ $30 after 9/2/2014 $______________________ Donation to Cow Harbor Warriors $______________________ Total: ____________________ Checks payable: Cow Harbor Warriors PO Box 204 Northport, NY 11768 Credit Card information: Mastercard: Visa: Account number:___________________________________________ Name on Card:_____________________________________________ Expiration date:____________________________________________ Signature:_________________________________________________ Capt. Joseph J. Boccia Jr. USMC 4-Mile Warrior Run Saturday, September 6, 2014 Crabmeadow Beach Northport, NY 11768 8:30 a.m. Start Top 3 Warrior Awards Top 3 Overall & Age Awards Raffles Massage Tent USATF Sanctioned Race Waiver: In consideration of the acceptance of my entry, I, the undersigned, do hereby waive and release and forever discharge any and all rights and claims for damages, which I may have hereafter accrue to me while travelling to and from and participating in the 4-mile Wounded Warrior race, against The Cow Harbor Warriors (503, c), the Town of Huntington, The Village of Northport, The County of Suffolk, The State of New York and their respective police, fire, and emergency agencies, or their respective officers, agents, representatives, or successors and with the RRCA, USATF/LITF, Start2finish Corp. along with any sponsors, supporters and volunteers of said event(s), as a result of my participation in said run. I hereby attest and verify that I have full knowledge of the risks involved in participating in this event and that I am physically fit and sufficiently trained to participate. The application warrants that my physical condition has been verified by a licensed medical doctor. Further, I herby grant full permission for the free use of my name, picture or likeness in any account for the promotion of this race and use of any other record of this event for any legitimate purpose whatsoever. If signed by a parent, the parent agrees to release and hold the above named organizations and persons harmless of any claims which may be asserted by or on the behalf of the entrant. I have read the above statements, I understand them, and my signature below confirms its full acceptance. Waiver signature:______________________________Date:_______________ Emergency Contact: Name:__________________________________________________________ Phone:__________________________________________________________

Transcript of ONLINE: MAILING DEADLINE: SEPTEMBER 2, 2014 - Semper Fi Fund

Official Entry Form:

Cow Harbor Warriors PO Box 204

Northport, NY 11768

ONLINE: cowharborwarriors.com MAILING DEADLINE: SEPTEMBER 2, 2014 Entry fee - $25.00

(please print clearly)

Name: ___________________________________________________

Address: _________________________________________________

Town:______________________ State: _________ Zip:___________

Phone: _______________________________

Email: ____________________________________________________

Age as of 9/8/2012: _____________

Sex (please circle) M - F D.O.B.______/______/_______

Wounded Warrior: Y (Wounded Veteran)

T-shirt size (please circle): S - M - L - XL

Date _______/______/_______

4-Mile Warrior Run -$25 $______________________

$30 after 9/2/2014 $______________________

Donation to Cow Harbor Warriors $______________________

Total: ____________________

Checks payable: Cow Harbor Warriors PO Box 204 Northport, NY 11768

Credit Card information:

Mastercard: Visa:

Account number:___________________________________________

Name on Card:_____________________________________________

Expiration date:____________________________________________

Signature:_________________________________________________

Capt. Joseph J. Boccia Jr. USMC

4-Mile Warrior Run

Saturday, September 6, 2014

Crabmeadow Beach

Northport, NY 11768

8:30 a.m. Start

Top 3 Warrior Awards

Top 3 Overall & Age Awards Raffles Massage Tent

USATF Sanctioned Race

Waiver:

In consideration of the acceptance of my entry, I, the undersigned, do hereby waive and release and forever discharge any and all rights and

claims for damages, which I may have hereafter accrue to me while travelling to and from and participating in the 4-mile Wounded Warrior

race, against The Cow Harbor Warriors (503, c), the Town of Huntington, The Village of Northport, The County of Suffolk, The State of New

York and their respective police, fire, and emergency agencies, or their respective officers, agents, representatives, or successors and with the

RRCA, USATF/LITF, Start2finish Corp. along with any sponsors, supporters and volunteers of said event(s), as a result of my participation in

said run. I hereby attest and verify that I have full knowledge of the risks involved in participating in this event and that I am physically fit and

sufficiently trained to participate. The application warrants that my physical condition has been verified by a licensed medical doctor. Further, I

herby grant full permission for the free use of my name, picture or likeness in any account for the promotion of this race and use of any other

record of this event for any legitimate purpose whatsoever. If signed by a parent, the parent agrees to release and hold the above named

organizations and persons harmless of any claims which may be asserted by or on the behalf of the entrant. I have read the above statements, I

understand them, and my signature below confirms its full acceptance.

Waiver signature:______________________________Date:_______________

Emergency Contact:

Name:__________________________________________________________

Phone:__________________________________________________________

Directions:

From West to Northport:

East on 25A to Waterside Avenue,

Left on Waterside Avenue North to the end, to Crab

Meadow Beach

From East to Northport:

West on 25A to Waterside Avenue,

Right on Waterside Avenue North to the end, to Crab

Description: The first annual 4-Mile Warrior Run is a scenic

and challenging run that starts at picturesque Crab Meadow

Beach Park on Long Island Sound. It travels a flat course along

Makamah preserve, turns up a hill through a quiet Northport

neighborhood, and continues along the rolling bluffs overlooking

Northport Harbor finishes down a hill to a flat., fast finish at Crab

Meadow Beach. The race encompasses some of the challenging

and beautiful sections of the historic Great Cow Harbor 10K

Race. —————————————————————————————————————————————————————————————————————————--

Date : Saturday, September 6, 2014

Start Time: 8:30 AM

CHECK IN OPTIONS

Prerace: Friday September 5 - 5:00 PM– 9:00 PM

William Brosnan School, 158 Laurel Ave, Northport NY

Day of race: 7:00 AM

Expect traffic entering Crab Meadow on Race day —————————————————————————————————————————————————————————————————————————--

Entry Fees: Registration is $25 by mail or online at:

cowharborwarriors.com

Day of race registration is $30

Deadlines:

Pre-registration entries must be completed online or received

by September 2, 2014.

Goodie Bags: Can be picked up Friday or day of race

T-shirts:

Commemorative T-Shirts will be given to all runners that register

on line by Monday August 25th. All others will receive Cow Har-

bor Warrior T-shirts while supplies last.

Race Awards:

Top 3 Wounded Warriors

Top 3 masters - Male & Female

Awards for the Top 3 finishers in each of the following age

categories: 14 & under, 15-19, 20-24, 25-29, 30-34, 35-39,

40-44, 45-49, 50-54, 55-59, 60-64, 65-69,70-75,75-80,80+

Post Race Festivities: Refreshments, awards, raffles at Crab

Meadow Beach

Timing: START2FINISH- results posted at www.start2finish.com

Cow Harbor Warriors

Established in 2012, “Cow Harbor Warriors” is a non-profit organization pending 501(c)(3) status. It is made up of a team of dedicated Northport community members focused on “honoring and enabling” our Tri-State wounded warriors from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) by raising awareness and enlisting the community’s support for the for organizations that advance wounded warriors past their visible and invisible injuries. The Cow Harbor Warrior Weekend was created as a way to raise funds and awareness for the veterans and veterans organizations we support, by inviting wounded warriors, their families and our community members to a weekend of recreation, celebration and appreciation, this September 5-7th, 2014 For more information, please visit cowharborwarriors.com

The Capt. Joseph J. Boccia Jr. USMC

1983 Beirut Lebanon

Born June 25, 1955 to Patricia and Joseph J. Boccia. The 2nd oldest of 6 children. A 1973 Northport High School Graduate, Joe was a long time record holding runner in the mile as well as a Cross Country Champion. Joe went on to run at Syracuse University, where he graduated in 1977. In true Warrior fashion, Joe passed on the invitation of Officer’s Candidate School and chose instead to join the United States Marine Corps as an enlisted man. His true calling was to be A Marine. On October 23, 1983, while serving in a Multinational Peacekeeping mission, a suicide truck Laden bombs carrying over 2000 pounds of explosives struck the building housing the US troops. The explosions leveled the building to rubble. On that October morning, the 24th Marine Amphibious Unit (1st Battalion 8th Marines) lost 220 Marines. Also perished were 18 Sailors, 3 soldiers with an additional 128 wounded. What is has now become known as the “The Beirut Bombing”. The Beirut families’ motto is “The first Duty is to remember”

Joseph J. Boccia Jr. has personified the statement; “Once a Marine, always a Marine”

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