The
What: 5
Mile Run and Walk to benefit YMCA programs and services
When:
Where:
Divisions:
Male and Female 14 & under, 15-17, 18-23, 24-29, 30-34, 35-39, 40-44,
45-49, 50-54, 55-59, 60-64, 65-69, 70+ Walkers Welcome (3 deep)
Fees: $23
Pre-Registration (ends
(Shirt
Guaranteed) (Shirt not guaranteed)
Results:
Will be available online 48 hours after the event at www.myy.org/campbell and www.sprunning.com
For more
information call the
First name
_________________________ Last
Name __________________________
Male Female (circle one)
Runner Walker (circle one) Shirt
size: S M L
XL XXL (circle one)
Address____________________________________________________________
City________________________________
State_______ Zip___________
Phone Number______________________ Age as of 12/31/09______
Email Address ______________________________________________________
Mail to: Frostbite 5, C/0 Steve
Prescott, PO Box 454, Mason Ohio 45040 by December 27, 2009, or register online
by December 28, 2009 at www.sprunning.com For mail in registrations please make check
payable to Campbell County YMCA
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 2010 Frostbite 5 race, and do hereby release the Campbell
County YMCA, the City of Fort Thomas, Campbell County , Steve Prescott and 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 the reverse side of this form.
Entry
Signature_________________________________________ Date_________________
Parents Signature_______________________________________
Date_________________
(required
of entrants under the age of 18)
Emergency
Contact______________________________________ Phone________________