RUNNER~ · Come run with us! Race proceeds to benef!t our children and families in need! Saturday,...

Come run with us! Race proceeds to benef!t our children and families in need! Saturday, May 19th 2012 1 Giralda Farms Corporate Park Dodge Drive Madison, New Jersey 07940 (Approx. 2.5miles Eastof Morristown Memorial Hospital on 124E) ~ USATFGrandPrixEvent - Course slight hills, water stations, , ~ " Refreshments, activities for kids Non-refundable pre-registration fees: $30 5k/10k ($28 USATFMembers) $35 Day of Race$10 Fun Run HSTrack Team Spirit Contest- Free Pre-registration closed after May 18th/Same day registration avail. HSTrack teams show your school pride by dressllll up to show your school spirit. Painted face •.school colors..etc. Have Funll (At least 3 students must Rln Sic to qualify for contest) Award to wlnnl.,. schooll Raceresults by: Bestrace.com Pediatric Angel Yeahl Cooler Month I Earlier start! Network PEDIATRIC ANGEL PAN CLASSIC 10k/Sk/FUN RUN A 501(3 Nonprofit Charity Event SaturdaYI May 19 th 2012 9AM (Rain or Shine) ETWORK Inspiring Hope and Bri htenin Lives North Jersey Help give a child with a long term illness or disability the BESTchance at a HEALTHYLIFE! New Jersey Grand Prix Event 500 Points RUNNER~ 730AM...Registration/check in opens 9AM ...Fun Run 930 AM..•5K/10K Starts Awards after run Food, beverage, and entertainment! Trophies for top 3 overall M&F 5k/10k I -Awards for top 3 M&F per age group I 14& under, 15-19, 20-29,30-39, 4Q- I 49.50-59.60-69.70-79.80& Over I ENTRYFORM LastName First Name D/O/B Age on race day _ StreetAddress. _ City State__ Zip Email _ Phone 2012USATF-NJ# Male/Female Race:5k($30)_ 10k($30)__ FUNRUN($10)__ HSTRACKSPIRITCONTEST -SKFree_ SameDay($3510k/Sk)_ T-shirt sizeAdult: SM_ Med_lG_Xl_ YS_YM_Yl_ (Schoolname, _ ChecksPayableto: "Pediatric Angel Network" POB213,Mendham, NewJersey07945 <S ::::§D View course map, directions, and register online at: www.pediatricangelnetwork.com Waiver: I am physically able and properly trained to participate in this race. In consideration of the acceptance of this applicati executor, successor, and assigns do hereby acquit and forever discharge the municipalities of Madison and Chatham, Pediatric all race voluntEier.s, organizers, sponsors, their representatives, employees, USATF. from any claims, responsibilities and liabiliti arising out of my participation in this event or carelessness of the persons named in this waiver. Further, I grant to all the for use any photographs, recordings, or any other record of this event in newspaper, broadcasting or any other legitimate pur Signature Date, --. ••• (Parent or Guardian if under 18)

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Transcript of RUNNER~ · Come run with us! Race proceeds to benef!t our children and families in need! Saturday,...

Page 1: RUNNER~ · Come run with us! Race proceeds to benef!t our children and families in need! Saturday, May 19th 2012 1Giralda Farms Corporate Park Dodge Drive Madison, New Jersey 07940

USATFGrand Prix Event- Course slight hills, water stations, ,~ " Refreshments, activities for kids

Non-refundable pre-registration fees: $30 5k/10k ($28USATFMembers) $35 Day of Race$10 Fun Run

HSTrack Team Spirit Contest- FreePre-registration closed after May 18th/Same day registration avail.HSTrack teams show your school pride by dressllll up to show yourschool spirit. Painted face •.school colors..etc. Have Funll (At least 3students must Rln Sic to qualify for contest)Award to wlnnl.,. schoollRace results by: Bestrace.com

Pediatric AngelYeahl Cooler Month I Earlier start! NetworkPEDIATRIC ANGEL

PAN CLASSIC10k/Sk/FUN RUN

A 501(3 Nonprofit Charity EventSaturdaYI May 19th 2012

9AM(Rain or Shine)

ETWORK Inspiring Hope and Bri htenin Lives

North Jersey

Help give a child with a long term illnessor disability the BESTchance at aHEALTHYLIFE!

New JerseyGrand Prix Event

500 Points

RUNNER~730AM...Registration/check in opens9AM ...Fun Run930 AM ..•5K/10K StartsAwards after run

Food, beverage, and entertainment!Trophies for top 3 overall M&F 5k/10k

I -Awards for top 3 M&F per age groupI 14& under, 15-19, 20-29,30-39, 4Q-I 49.50-59.60-69.70-79.80& Over

ENTRYFORMLast Name First Name D/O/B Age on race day _StreetAddress. _City State__ Zip Email _Phone 2012USATF-NJ# Male/FemaleRace: 5k ($30)_ 10k ($30)__ FUNRUN($10)__ HSTRACKSPIRITCONTEST-SKFree_ SameDay ($35 10k/Sk) _T-shirt sizeAdult: SM_ Med_lG_Xl_ YS_YM_Yl_ (Schoolname, _

ChecksPayableto: "Pediatric Angel Network"POB213,Mendham, New Jersey07945 <S ::::§DView coursemap, directions, and register online at: www.pediatricangelnetwork.comWaiver: I am physically able and properly trained to participate in this race. In consideration of the acceptance of this applicatiexecutor, successor, and assigns do hereby acquit and forever discharge the municipalities of Madison and Chatham, Pediatricall race voluntEier.s, organizers, sponsors, their representatives, employees, USATF. from any claims, responsibilities and liabilitiarising out of my participation in this event or carelessness of the persons named in this waiver. Further, I grant to all the foruse any photographs, recordings, or any other record of this event in newspaper, broadcasting or any other legitimate purSignature Date, --. •••(Parent or Guardian if under 18)