THE CITY OF EDGEWOOD 33rd ANNUAL

INDEPENDENCE DAY 5K-SATURDAY, JULY 3, 2010 - 8:00 A.M.

REGISTRATION: PRE REGISTRATION ...$ 9.00 (NO SHIRT) POST MARKED BY FRIDAY JUNE 25, 2010

PRE REGISTRATION... $15.00 (WITH COLLECTOR'S SHIRT)

RACE DAY ... $15.00 (NO SHIRT)

EXTRA COLLECTOR’S SHIRTS...$10.00 DAY OF RACE – While supplies last

ONLINE REGISTRATION AVAILABLE UNTIL JUNE 30 @ SPRUNNING.COM

******PLEASE ARRIVE EARLY FOR RACE DAY REGISTRATION******

RACE DAY REGISTRATION WILL CLOSE AT 7:30 A.M.

PRE-REGISTERED PARTICIPANTS MAY PICKUP SHIRTS AND NUMBERS

AT THE EDGEWOOD CITY BUILDING, 385 DUDLEY RD, ON FRIDAY, JULY 2, FROM 8 A.M. – 6 P.M.

AWARDS: OVERALL MALE & FEMALE RUNNERS

TOP THREE IN EACH AGE DIVISION

RUNNING DIVISIONS: 9-under,10-12,13-14,15-16,17-19,20-24,25-29,30-34,35-39,40-44, 45-49,50-54,

55-59, 60-64, 65-69, 70-OVER, FEMALES-160 LBS & OVER

MALES 200-219 LBS, MALES 220 LBS & OVER

WALKING DIVISIONS: 19-UNDER, 20-29, 30-39, 40-49,50-59,60-OVER

COURSE: START ON DUDLEY AT PRESIDENTS PARK, TURNAROUND AT FREEDOM PARK & RETURN

DIRECTIONS : KY I-275 TO TURKEYFOOT RD. EXIT, SOUTH ON TURKEYFOOT, LEFT ON DUDLEY RD 1/2 MILE.

PARKING AT ST. PIUS CHURCH (NO PARKING AT PRESIDENTS PARK)

FUN RUN: ALL KIDS AGES 9 AND UNDER ARE ELIGIBLE - MIST AREA – DOOR PRIZES

INFO/REGISTRATION: CONTACT STEVE PRESCOTT AT SPRUNNING.COM OR KIM WOLKING AT 859-331-5910,

USE ONLY ONE FORM PER PARTICIPANT. COPY THIS FORM AS MANY TIMES AS NECESSARY.

MAIL ENTRIES TO: EDGEWOOD 5K C/O STEVE PRESCOTT P.O. BOX 454, MASON, OHIO 45040 POSTMARKED BY JUNE

25, 2010

CHECKS PAYABLE TO: CITY OF EDGEWOOD

FIRST NAME:_____________________________ LAST NAME______________________________ MALE______FEMALE______

STREET ADDRESS:_____________________________________________ PHONE ( ) _____________________________

CITY_______________________________ STATE________ ZIP________ AGE____________ (AS OF RACE DAY)

EMAIL ADDRESS___________________________________ SHIRT SIZE: SMALL MEDIUM LARGE X-LARGE

(CIRCLE ONE)

CHECK ONE __________WALK (NO WEIGHT DIVISIONS) _____________RUN

IF YOU ARE RUNNING, CIRCLE WHICH ONE DIVISION YOU WISH TO BE IN:

REGULAR AGE DIVISON MALE 200-219 LBS MALE 220 & OVER LBS FEMALE 160 & OVER

MUST BE SIGNED TO CONSTITUTE VALID ENTRY

In consideration of the acceptance of my entry, I for myself, my executors, administrators & assignees, do hereby release & discharge all claims against the City of Edgewood, Steve Prescott and any race official, of damages, demands, actions whatsoever in any manner arising out of my participation in said athletic event. I attest that I am physically fit and sufficiently trained and have full knowledge of the risk involved. I also agree that I may be examined during the race by qualified personnel in the event that medical problems arise. The race officials or qualified personnel have the right to disqualify and remove me from the event if, in their opinion, I may be suffering from a life-threatening condition. I give permission to use photographs for promotional purposes.

Signature (Parent/Guardian if under 18) _______________________________________

NOTIFY IN CASE OF EMERGENCY____________________________________________________

NAME PHONE

ALL RESULTS WILL BE POSTED ON SPRUNNING.COM