ADAM LÁZARO FORTOSO Children’s Races 3K Walk! T-shirts … · 2010-08-26 · SEX: MALE FEMALE...
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The Mexican Athletic Club of New York FIRST NAME: EMAIL: SEX: EVENT: MALE FEMALE 5K RUNNER 5K WALKER CHILDRENS RACE 2010 APPLICATION PLEASE PRINT NO REFUNDS OR EXCHANGES PLEASE MAKE CHECK PAYABLE TO: CLUB ATLETICO MEXICANO DE NUEVA YORK, P.O. BOX 180445, BROOKYN, N.Y. 11218 1ST ANNUAL USA LA CARRERA DEL MIGRANTE 5K SATURDAY, SEPTEMBER 18TH, 2010 4 PM DATE ADDRESS: CITY: STATE: LAST NAME: ZIP CODE: PHONE: AGE: TEAM: Children’s Races 3K Walk! T-shirts Medals Live Music Raffles Post Race Refreshments by Jarritos! CAMNY will commemorate the bicentennial of its Mexico’s independence movement and the centennial of Mexico’s Revolution. Top Male & Female winner will receive an all expenses paid trip to compete in the Modesto Carrion Half-Marathon (Male) and 10K (Female) in Juncos, Puerto Rico (November 2010). ADAM LÁZARO FORTOSO ADAM LÁZARO FORTOSO Three Guys From Brooklyn Produce *Application available at www.camny.org Top 3 Male & Female will also receive accommodations expenses* for 3 days to compete in the International 10KM: La Carrera del Migrante - La Mixteca in Chinantla-Puebla, Mexico (Saturday, January 29, 2011). $15,000 US dollars in awards. *Meals and hotel accommodations provided. Travel air expenses are not included. OFFICIAL SPONSOR Entry Fee 5K Run: $15.00 Children's Races: $10.00 Please make check payable to: Club Atletico Mexicano de Nueva York P.O. Box 180445 Brooklyn, NY 11218-0445 Directions By Train | Take (F) train to Prospect Park -15th St. By Car | Belt Parkway (BQE) to Prospect Park Expressway, Exit 10th Avenue, right at stop sign, right at light, make first right Awards Trophies for top 3 male and female finishers. Trophy for top male and female walker. Medals to all finishers of the 5K run, 3K walk and children’s races. For more information email | [email protected] website | www.camny.org phone | 917.923.1238 applications | JackRabbit Sports PLEASE SIGN (PARENTS SIGNATURE REQUIRED IF UNDER 18 YEARS OF AGE) Disclosure: In consideration of this entry being accepted, I, the undersigned intend to be legally bound, hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims I may have against, Adam Lazaro as race director, The Club Atletico Mexicano de Nueva York (CAMNY), USA Track & Field, Department of Parks & Recreation, The Metropolitan Athletic Congress, El Jarochito, Tortilleria Chinantla, Three Guys from Brooklyn Produce, JackRabbit Sports, Clements Tacos y Burritos, Diario De Mexico or their representatives, successors or assignees for any injuries that may be suffered by me in this event. F U N R U N
Transcript of ADAM LÁZARO FORTOSO Children’s Races 3K Walk! T-shirts … · 2010-08-26 · SEX: MALE FEMALE...
The Mexican Athletic Club of New York
FIRST NAME:
EMAIL:
SEX: EVENT:MALE FEMALE 5K RUNNER 5K WALKER CHILDRENS RACE
2010 APPLICATIONPLEASE PRINT NO REFUNDS OR EXCHANGESPLEASE MAKE CHECK PAYABLE TO: CLUB ATLETICO MEXICANO DE NUEVA YORK, P.O. BOX 180445, BROOKYN, N.Y. 11218
1ST ANNUAL USA LA CARRERA DEL MIGRANTE 5KSATURDAY, SEPTEMBER 18TH, 2010 4 PM
DATE
ADDRESS:
CITY: STATE:
LAST NAME:
ZIP CODE: PHONE:
AGE: TEAM:
Children’s Races 3K Walk!
T-shirts Medals Live Music Raffles
Post Race Refreshments by Jarritos!CAMNY will commemorate the bicentennial of its Mexico’s independence
movement and the centennial of Mexico’s Revolution.Top Male & Female winner will receive an all expenses paid trip to compete in the Modesto Carrion
Half-Marathon (Male) and 10K (Female) in Juncos, Puerto Rico (November 2010).
ADAM LÁZARO FORTOSOADAM LÁZARO FORTOSO
Three Guys From Brooklyn Produce
*Application available at www.camny.org
Top 3 Male & Female will also receive accommodations expenses* for 3 days to compete in the International 10KM: La Carrera del Migrante - La Mixteca in Chinantla-Puebla, Mexico (Saturday, January 29, 2011). $15,000 US dollars in awards.*Meals and hotel accommodations provided. Travel air expenses are not included.
OFFICIAL SPONSOR
Entry Fee5K Run: $15.00Children's Races: $10.00Please make check payable to:Club Atletico Mexicano de Nueva YorkP.O. Box 180445Brooklyn, NY 11218-0445
DirectionsBy Train | Take (F) train to Prospect Park -15th St.By Car | Belt Parkway (BQE) to Prospect Park Expressway, Exit 10th Avenue, right at stop sign, right at light, make first right
AwardsTrophies for top 3 male and female finishers. Trophy for top male and female walker. Medals to all finishers of the 5K run, 3K walk and children’s races.
For more informationemail | [email protected] | www.camny.orgphone | 917.923.1238applications | JackRabbit Sports
PLEASE SIGN (PARENTS SIGNATURE REQUIRED IF UNDER 18 YEARS OF AGE)
Disclosure: In consideration of this entry being accepted, I, the undersigned intend to be legally bound, hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims I may have against, Adam Lazaro as race director, The Club Atletico Mexicano de Nueva York (CAMNY), USA Track & Field, Department of Parks & Recreation, The Metropolitan Athletic Congress, El Jarochito, Tortilleria Chinantla, Three Guys from Brooklyn Produce, JackRabbit Sports, Clements Tacos y Burritos, Diario De Mexico or their representatives, successors or assignees for any injuries that may be suffered by me in this event.
F U N R U N
