2011 Fall Hustle Application

 

3rd Annual Fall Hustle 5K Run & 2K Fun Run/Walk

To benefit the Two Rivers Running Club

Race is limited to the first 125 participants

(once we have reached 125 participants, registration will close – please check our website www.2rrc.org or call 574-238-2576 if you think you will be registering on race day to make sure registration is still available)

When:                                  Saturday, October 15, 2011 – Race starts at 9:00am

                                              Packet pickup/race day registration 7:30am -8:30am

 Where:                                 Rieth Interpretive Center – 410 W Plymouth Ave – Goshen, In

 Registration:                        $17.00 donation for pre-registration – postmarked by October 1, 2011

                                            $20.00 donation for late registration

                                             $22.00 donation for race day registration

 Divisions:                               Male and Female – 14 & under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+

 Awards:                                  Top  3 overall & Top Master – Top 3 in each age group in the 5K run

                                                Ribbons to all finishers in the 2K fun run/walk

 ***We will be collecting non-perishable food for the Elkhart Assembly of God Food Pantry***

 

 

Last Name                                                        First Name                                                   Age                                       Sex

 

Address                                                                                                                                    City/State/Zip                                                  

 

Email address                                                                     Phone                                         5K run                                  2K run/walk


Race premium guaranteed to all pre-registered runners, available while supplies last for late registration and on race day.

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, 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 (of parent or guardian if under 18)                   Date                     

 Make checks payable and mail to:

Two Rivers Running Club, 911 William Drive, Goshen, Indiana 46526

For questions email us at:  information@2rrc.org

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