10th Annual Emerald Miles 5K Run/Walk
Presented
by the Epilepsy Foundation of Greater
•Course:
The race
starts at
•Time:
The race
starts at
•Something
for everyone: Participants
can run or walk the 5K course to support the Epilepsy Foundation of Greater
Cincinnati.
•Awards:
First male/female
runner & walker, and the 1st & 2nd place finisher in each age division. New this year - awards will be given to the top
3 finishers with strollers and wagons!
*
Refreshments and door prizes will be available after the race.
•Beat the crowd the day of the
event and pick your shirt and race number at Fleet Feet Sports on Thursday,
March 11, from
•Start
a team and run/walk with your family and friends: Go to our website at
www.cincinnatiepilepsy.org and click on “Emerald Miles” to see how to
start or join a team and win great prizes!
•Fee:
Pre-registration
is $25.00
(non-refundable). This fee includes the race and a long sleeve race t-shirt.*
To
pre-register, your registration form must be postmarked by
Register
on-line by March 8 at www.cincinnatiepilepsy.org.
* All shirts must be
picked up by
Emerald Miles Registration Form - POSTMARK BY
First
Name: __________________________ Last
Name: __________________________
Age
on Day of Race: ____ Gender: M___ F___ T-shirt
Size: (Please circle one)
Youth: M L Adult: S M L XL XXL
Address:
_________________________ City,
State & Zip:_______________________________
E-Mail:
_________________________________________
Phone: __________________________
Category: □ 5 K Walk □ 5 K Run Registering a new or joining an existing team?
Team Name:
_____________________________________________________________
* Registration fees are non-refundable
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 do hereby
release the Epilepsy Foundation of Greater Cincinnati, 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 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 next to my signature. I will permit the use of my
name and picture participating in this event for publicity.
Signature: ________________________
Date: ______ Parent/Guardian Signature (if under 18):____________________
Send
completed registration form & payment to:
Epilepsy
Foundation of Greater
Emerald
Miles Run/Walk
Questions?
Call the Epilepsy Foundation at (513) 721-2905