
Anna C.
Ringer 5K Trail Run/Walk
Sunday,
May 25, 2008
The 4th Annual Anna C. Ringer Memorial 5K
Trail Run/Walk will be hosted by the Delaplane Strawberry Festival at scenic
Cost/Registration - The registration fee
of $20 per person includes the one-day admission to the festival.
Start Times/Race Packet - Pre-registered check-in and on-site registration begins at
8:00 AM. Runners Official Start 9:00 AM Walkers Official Start 9:15 AM
Refreshments - Water will be
provided free of charge to all registered participants.
Awards - will
be presented at the Awards Ceremony,
10:30 AM on the Main Stage.
All runners are eligible for the overall top male and
female trophy. Medals will be awarded to the top 3
runners in each age group: 14 and under; 15-19; 20-29; 30-39; 40-49; 50-59;
60-69; 70 and over.
Questions? For information call Mary Ann Patterson, 540-937-3617,
email maryannpatterson@msn.com.
For details about the Festival, visit www.delaplanestrawberryfestival.com
.
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I am registering as a □ Runner □
Name
____________________________________________________________________________
Email Address (please print clearly)_____________________________________________________
Age ________ Birth Date _____________ Sex _____ Phone
_________________________________
Emergency Contact (Name and Phone)
__________________________________________________
In submitting this entry and providing my
signature below, I acknowledge that running a race is a potentially hazardous
activity. I will not enter and participate unless I am medically able and
physically able. I agree to abide by any decision of the race officials
relative to my safety completing this event. I assume all risks with running/walking
(including risks to my minor children if they are participants) including but
not limited to falls; contact with other participants; effects of weather;
traffic; and trail conditions. Having read this waiver, I and anyone entitled
to act on my behalf, waive and release Emmanuel Church; The Ringer and
Patterson Families; Big Sky Meadows Park; Delaplane Strawberry Festival; On The
Run Sports, and all sponsors and their representatives from all claims or
liabilities of any kind to this event even though such liability may arise out
of negligence.
Signed _______________________________________________ Date
________________________
Signature of Parent or Guardian (if under 18 years of age)
___________________________________
Fill out this form, include a
check for $20 (made out to
----------------------------------------------------------------------------------------------------------------------------
I am registering as a □ Runner □
Name
____________________________________________________________________________
Email Address (please print clearly)_____________________________________________________
Age ________ Birth Date __________ Gender _____ Phone
_________________________________
Emergency Contact (Name and Phone)
__________________________________________________
In submitting this entry and providing my
signature below, I acknowledge that running a race is a potentially hazardous
activity. I will not enter and participate unless I am medically able and
physically able. I agree to abide by any decision of the race officials
relative to my safety completing this event. I assume all risks with
running/walking (including risks to my minor children if they are participants)
including but not limited to falls; contact with other participants; effects of
weather; traffic; and trail conditions. Having read this waiver, I and anyone
entitled to act on my behalf, waive and release Emmanuel Church; The Ringer and
Patterson Families; Big Sky Meadows Park; Delaplane Strawberry Festival; On The
Run Sports, and all sponsors and their representatives from all claims or
liabilities of any kind to this event even though such liability may arise out
of negligence.
Signed _______________________________________________ Date
________________________
Signature of Parent or Guardian (if under 18 years of age)
___________________________________
Fill out this form with a check for $20 (made out to
----------------------------------------------------------------------------------------------------------------------------
I am registering as a □ Runner □
Name
____________________________________________________________________________
Email Address (please print clearly)_____________________________________________________
Age ________ Birth Date _________ Gender _____ Phone
_________________________________
Emergency Contact (Name and Phone) __________________________________________________
In submitting this entry and providing my
signature below, I acknowledge that running a race is a potentially hazardous
activity. I will not enter and participate unless I am medically able and
physically able. I agree to abide by any decision of the race officials
relative to my safety completing this event. I assume all risks with
running/walking (including risks to my minor children if they are participants)
including but not limited to falls; contact with other participants; effects of
weather; traffic; and trail conditions. Having read this waiver, I and anyone
entitled to act on my behalf, waive and release Emmanuel Church; The Ringer and
Patterson Families; Big Sky Meadows Park; Delaplane Strawberry Festival; On The
Run Sports, and all sponsors and their representatives from all claims or
liabilities of any kind to this event even though such liability may arise out
of negligence.
Signed _______________________________________________ Date
________________________
Signature of Parent or Guardian (if under 18 years of age)
___________________________________
Fill out this form with a check for $20 (made out to
----------------------------------------------------------------------------------------------------------------------------
I am registering as a □ Runner □
Name
____________________________________________________________________________
Email Address (please print clearly)_____________________________________________________
Age ________ Birth Date __________ Gender _____ Phone
_________________________________
Emergency Contact (Name and Phone)
__________________________________________________
In submitting this entry and providing my
signature below, I acknowledge that running a race is a potentially hazardous
activity. I will not enter and participate unless I am medically able and
physically able. I agree to abide by any decision of the race officials
relative to my safety completing this event. I assume all risks with running/walking
(including risks to my minor children if they are participants) including but
not limited to falls; contact with other participants; effects of weather;
traffic; and trail conditions. Having read this waiver, I and anyone entitled
to act on my behalf, waive and release Emmanuel Church; The Ringer and
Patterson Families; Big Sky Meadows Park; Delaplane Strawberry Festival; On The
Run Sports, and all sponsors and their representatives from all claims or
liabilities of any kind to this event even though such liability may arise out
of negligence.
Signed _______________________________________________ Date
________________________
Signature of Parent or Guardian (if under 18 years of age)
___________________________________
Fill out this form with a check for $20 (made out to