3rd Annual Mother Teresa
5K
Benefiting
Registration:
Pre-Registration:
$20/$15 under 18; postmark deadline
Register online at www.sprunning.com;
deadline
Race
Day Registration: $25/$20 under 18
Men & Women Run Divisions: 14 & under, 15-18, 19-24, 25-29, 30-34, 35-39, 40-44, 45-49,
50-54, 55-59, 60-69, 70 & over
Walk Divisions: 29 & under, 30-39, 40-49, 50-59, 60 & over
Awards: Special
awards to top male and female finishers, plus top finishers in each division
Directions: I-75 North or South, east on
Additional Information: Contact MTCES Development Director, Noel Balster,
at nbalster@mtces.org or (513) 779-6585. Visit www.mtces.org and
www.sprunning.com.
Proceeds: All race proceeds benefit educational programming, capital
improvement and tuition assistance at
Race Entry Form
First
Name: ________________ Last Name :
_____________________
Gender:
__ M __ F __ Run __Walk Age (on race day): ____
Address:
Daytime
Phone: ______________ Email:
_____________________________
Shirt
Size: __ S __M __L __XL
Checks payable to: MTCES
Mail entry to:
MTCES c/o Steve Prescott
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 MTCES 5K, and do hereby release MTCES, the city of
West Chester, Steve Prescott, all sponsors, workers, officials, and volunteers
from any claim whatsoever arising from my participation in this event. I agree
to abide by all the rules for participation and acknowledge that the Race
Committee may refuse or return my entry at its discretion. I HAVE NOTED ANY
MEDICAL CONDITIONS ON THIS FORM.
Entry Signature: _________________________ Date: _________
Parent’s Signature (under 18)
________________ Date: _________
Emergency Contact/Phone Number
___________________________________________________