Epilepsy Foundation EMERALD MILES RUN/WALK

In Memory of Dennis Stemler

March 15, 2008 at 9:00 AM

Course: The race starts at Newport on the Levee. It crosses the Purple People Bridge, loops through Sawyer Point and Cincinnati then back to the Levee.

Something for Everyone: Participants can run or walk the 5K course to support the Epilepsy Foundation.

Awards: First male/female runner and walker, as well as top 10% in each division based on pre-registration.

Refreshments and door prizes after the race.

Time: The race starts at 9:00 AM with same day registration and packet pick-up from 7:30 AM to 9:00 AM.

Fee: Pre-registration is $25.00 which includes race, and long sleeve t-shirt, if registration, postmarked before March 10, 2008. $15.00 for children under 12. Also register on-line at www.ecgc-ohnky.net until 3/14/08.

Same Day Registration is $25.00 for race only; $30.00 with long sleeve t-shirt (while supplies last).

Help kids with epilepsy by collecting pledges: Participants can collect pledges to further help the cause and to win great prizes! Go to our website www.ecgc.net and click on Emerald Miles to see how to earn prizes.

Send completed registration form to: Epilepsy Foundation of Greater Cincinnati, Emerald Miles Run/Walk, 895 Central Avenue, Suite 550, Cincinnati, Ohio, 45202.

Emerald Miles Registration – Entry Form must be postmarked by March 10, 2008

Please fill form out completely and print information neatly. Thanks.

First Name: _______________ Last Name __________________ Age on race day ___

Sex: M F Telephone Number ______________ Email Address: _________________

(Circle One)

Street: __________________________ City: ______________ State ___ Zip: ______

Category: ___5K Walk ___5K Run T-Shirt Size: S M L XL XXL

(Circle One)

Pricing: ____ $25.00 Pre-registration (includes entry fee and long sleeve T-shirt)

____ $15.00 for children under 12

Questions? Call the Epilepsy Foundation at 513-721-2905.

Waiver: In consideration of the acceptance of my entry, I hereby waive on behalf of my heirs, executors and assigns, all claims of any nature arising from my participation in the Emerald Miles run/walk, and hereby release the Epilepsy Council of Greater Cincinnati, Steve Prescott, all sponsors, workers, officials and volunteers from any claim arising from my participation in this event. I agree to abide by all the rules of participation, and acknowledge that the Race Committee may refuse or return my entry at its discretion. I understand the risks for such a run, and have trained adequately in preparation for the run. I HAVE NOTED ANY MEDICAL CONDITION on this entry form. I permit the use of my name and picture participating in this event for publicity.

Signature ______________________________ Date________

Parent Signature (if under 18) __________________________ Date _________