2010 Tower Run Application to print use print option in the bottom of the page

  Oxbow Tower Run

5K run ~ 1mile family fun walk ~ November 7, 2010 ~ 2:00pm

Oxbow County Park


Proceeds:      The Oxbow Tower 5K Run and 1 Mile Walk is hosted by the Two Rivers Running Club.
                      All proceeds from this run and walk will be used to help rebuild the tower at Oxbow Park
                      that was burned down on July 27, 2010.

When:      Sunday, November 7, 2010  –  Race starts at 2:00pm      
                  Packet pickup/race day registration 12:30pm - 1:30pm

Where:      Oxbow County Park  –  Goshen, In
                  Description:    The 5K will be a timed event and run over the high school cross-country course.  The 1 mile
                  family fun walk is a non-timed event and will take place on the small paved loop around the start and finish
                 of the 5K run.

Registration:    5K run:          $15.00  pre-registration – postmarked by October 23, 2010
                                                 $20.00 late registration and race day registration
                      1 mile walk:       $10.00 pre-registration – postmarked by October 23, 2010
                                                 $15.00 late registration and race day registration
                                                  (children 5 & under free with paid adult for walk only)
                                **All paid, pre-registered runners and walkers will receive a drawstring backpack**
                                     Backpacks will be available while supplies last for late and race day registration.
   
Divisions:      Male and Female – 14 & under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
Awards:      Top overall male and female for the 5K  -  Top 3 in each age group for the 5K

Donations:      If you are unable to participate in this event, but would like to make a donation to this cause, please fill out
                         the appropriate information below.  Your donation is tax deductible.  Thank you.
Need more information?  Contact us at:  information@2rrc.org or http://www.2rrc.org
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Last name:__________________________        First name:________________________________
Address:___________________________________    City/State/Zip:_____________________________
Email:______________________  Phone:______________________  Age:____________  Sex:____________
5K_________   1mile family walk_________ Amount enclosed:__________    Donation amount:___________
Waiver: (must be signed)
In consideration of this entry being accepted, I, for myself, my heirs, executors, assigns, and administrators, waive and release any and all claims for damages I may have against, any and all sponsors, representatives, organizers, Two Rivers Running Club, RRCA, Elkhart County Parks Department, and the City of Goshen.  I attest and verify that I am physically fit and have sufficiently trained for the competition of this event.  I have read and understand the form I am signing.

Signature:__________________________________________Date:____________
(of parent or guardian if under 18 years of age)                                                                          
 
Make Checks Payable to:  Elkhart County Parks Department  -  note: Tower Run/Walk in memo section                                      
                                         211 W. Lincoln Avenue 
                                         Goshen, Indiana 46526
                
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