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The 4th Annual NWC Scholarship Scamper 5k Road Race will take place on Saturday,
June 25, 2016 at 10:00 am, beginning and ending on the Nor thwest Catholic High School campus. With all proceeds going to scholarships for deserving NWC students, this chip-timed event is competitive for serious runners, welcoming for casual runners and walkers, and fun for the whole family. The race is followed by a free picnic and children’s games and activities. Bring the family!
5k Sponsorships: We hope you, and/or your business, will consider this opportunity to support Northwest Catholic while encouraging family fitness and fun! Learn more about Sponsorship opportunities forbusinesses or individuals and reserveone on-line by credit card at www.NorthwestCatholic.org/5kScamper. Or complete the attached form and mail with your check to NWC by June 1 to ensure your inclusion in race day materials.
Saturday, June 25, 2016Race time: 10:00 AM
All proceeds benefit scholarships for deserving NWC students
Rain or ShineChip-Timed
www.NorthwestCatholic.org/5kScamperFor more information or to register, please visit:
Northwest Catholic High School
5k Road Race
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NORTHWEST CATHOLIC SCHOLARSHIP SCAMPER 5k
5k Participation:Race participants can register on-line at www.NorthwestCatholic .org/5kScamper. Or return the attached form by mail by June 20 to receive pre-registration pricing and your free t-shirt. Race day registration will be available for an additional $5 fee on June 25 from 8:30—9:30 am in the Rev. Bradford Colton Memorial Atrium at NWC.
Adam M. Lawton ’99 High School Championship:Current high school students are eligible to compete for this award in memory of Adam, a fondly remembered NWC runner. Trophies are awarded to the top male and female high school finishers. Additionally, a portion of the 5k proceeds support a scholarship in Adam’s name for a Northwest Catholic student.
5k Volunteers:Many volunteers will be needed for this event on race day, Sat., June 25. Sign-up at www.NorthwestCatholic.org/5kScamper if you’re interested in helping.
Questions? Contact NWC Director of Advancement Patricia Walsh at:[email protected] or 860-236-4221 x138.
USATF Certification #CT5012JHP
NWC Scholarship Scamper 5kRegistration Options
Youth (18 & under)NWC Alums, Classes of 2012-2016
Adults (Age 19 and over)
PRE-REGISTRATIONNow – June 21, 2016
RACE DAY REGISTRATIONJune 25, 2016 8:30 – 9:30 am
$15
$25 $30
$20
Registration form must be postmarked by Mon., 6/20/16 to qualify for pre-registration pricing and guaranteed free t-shirt.Or, register on-line securely by credit card at www.NorthwestCatholic.org/5kScamper by Tuesday, 6/21/16.
First Name: _________________________ Last Name: ________________________________________
Date of Birth: _______________________ Age on race day: ____________________________________
Gender (check one): Male Female Class Year for NWC Students/Alums: _____________If you are a high school student, please indicate school and class year (2016, ’17, ’18, or ’19) to be a candidate for the Adam M. Lawton ’99 High School Championship:__________________________________________
Address: _______________________________________________________________________________
Town: ____________________________________ State: __________ Zip Code: ___________________
Email: _____________________________________________ Phone: _____________________________
Emergency Contact: ____________________________ Emergency Phone: __________________________
A free t-shirt is included with your pre-registration.Please select t-shirt size:
Can’t make it? Be a “Friend of the Scholarship Scamper 5k” by making a donation. Donations gratefully accepted! $ ______________________Total payment enclosed: $ _____________________________
Please make checks payable to Northwest Catholic High School. Mail completed forms and payments to Advancement Office, Northwest Catholic High School, 29 Wampanoag Drive, West Hartford, CT 06117. Or, to make secure payments on-line via credit card, go to www.NorthwestCatholic.org/5kScamper. Being of full age (18 or older) and in consideration of my participation in this event, I do hereby release and forever discharge Northwest Catholic High School Corporation, The Hartford Roman Catholic Diocesan Corporation (a/k/a Archdiocese of Hartford), and its/their subsidiaries, affiliates, , directors, agents, servants, volunteers and employees, as well as any other association connected with this event from any and all claims arising out of any and all personal injuries, damages, expenses, and any loss or damage incurred by me, in any way related to or arising out of my participation in the NWC Scholarship Scamper 5k Road Race. I also certify that I am physically fit and sufficiently trained for competition in this event.
Signature (participant or parent/guardian if under 18) : ___________________________________
Sponsorship payment enclosed: $ ________________Please make checks payable to Northwest Catholic High School or go to www.NorthwestCatholic.org/5kScamper to make a secure payment online via credit card.
Donations of runners’ prizes such as gift cards or gift certificates are gratefully accepted and will qualify the donor for a Sponsorship proportionate to the value of their donation. Please list quantity and denomination of prize donations here: ______________________________________________________________________
______________________________________________________________________Payment due by June 1, 2016 to make t-shirt and race day materials production deadline. *Please attach logo artwork or email jpeg or pdf to [email protected] by June 1.
I/We agree to be a NWC Scholarship Scamper 5k Sponsor at the following level (please check one):
Presenting Sponsor: $5,000 (1 available)Exclusive signage at the event, premier placement of your corporate logo* or name on the racers’ t-shirts and in all Sponsor recognition materials; recognition (including your logo and a link to your website) on NWC’s website throughout the 2016-17 academic year
Picnic Sponsor: $2,500 (SOLD)Signage at the picnic; prestige placement of your corporate logo* or name on the racers’ t-shirts and in all Sponsor recognition materials; recognition (including your logo and a link to your website) on NWC’s website throughout the 2016-17 academic year
Diamond Sponsor: $1,500 (5 available – Timing, Finish Line, Beer Tent, Volunteer, and Runners’ Gift Sponsors)Signage at your race day site; key placement of your corporate logo* or name on the racers’ t-shirts and in all Sponsor recognition materials; recognition (including your logo) on NWC’s website throughout the 2016-17 academic year
Platinum Sponsor: $1,000 (4 available – Aid Station, Post-Race Spread, Prizes, and Awards Sponsors)Signage at your race day site; your corporate logo* or name on the front of the racers’ t-shirts and in all Sponsor recognition materials; recognition (including your logo) on NWC’s website throughout the 2016-17 academic year
Gold Sponsor: $500 (4 available)Your corporate logo* or name on the sleeve of the racers’ t-shirts and in all Sponsor recognition materials; recognition on NWC’s website through the 2016-17 academic year
Green Sponsor: $300 (unlimited)Your name in large print on the back of the racers’ t-shirts
White Sponsor: $150 (unlimited)Your name in print on the back of the racers’ t-shirts
NORTHWEST CATHOLIC SCHOLARSHIP SCAMPER 5K Race and Walk - Sat., June 25, 2016 at 10:00AMUSATF Certification #CT5012JHPSponsorship Agreement
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Race Registration
Questions? Contact [email protected] or Patricia Walsh at 860-236-4221 x138.Thank you for your generous support of Northwest Catholic and its students!Northwest Catholic High School is a 501(c)3 tax exempt organization #06-6079624
Youth Sizes: Medium Large
Adult Sizes: Small Medium Large X-Large XX-Large
NWC Alums representing every decade took part in the 2015 5K!
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