The Seventh Annual–A Kid Again 5K Run/Walk

Saturday, May 22, 2010 at Kings Island

 

7:00am – Registration  8:30am – 5K Run/Walk Start    9:00am – Kids Activities

Registration - Individuals and Teams can register by going online to www.akidagain.org or mailing their form and check payable to A Kid Again 5K at 8595 Beechmont Avenue, Suite 301 Cincinnati, Ohio 45255– Deadline for online registration is Noon on May 18 – Mail in registration must be postmarked by May 14  

 

Top Fundraising Team – Wins a Pizza Party at Chi-nnati’s

Individual Performance Awards – Top Male and Female walkers and runners will receive trophies. Medals will be given to the top 2 men and women in the following age divisions: Walking: 29 & under, 30-39, 40-49, 50-59, 60 & over.  Running: 12 & Under, 13-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70 & over.

RESULTS - Race results will be posted at www.sprunning.com

 

THE FIRST 500 TO REGISTER WILL RECEIVE FREE ENTRY TO KINGS ISLAND ON RACE DAY

 

            First Name_________________  Last Name_________________________

 

            Address ______________________________________________________

 

City _____________________       State__________         Zip ____________

 

            Phone __________________ E-mail _______________________________

 

            Age on May 22, 2010 __________ Shirt Size: S M L XL XXL � Male 􀀀 Female

 

Please choose which event you will be participating in: 􀀀 5K Run 􀀀 5K Walk

 

􀀀 Individual          􀀀 Team*         Team Name _____________________­­     Leader ________________

           

*Teams Should Mail Entries Together in One Envelope

Emergency Contact Info:

 

Name _______________________          Relationship __________________

 

Phone _______________________          Entry fee $30 ($35 day of race)

                                                            Immediate A Kid Again Family Members $10

 

In consideration of my entry being accepted, I intend to be legally bound, and do hereby, for myself, my heirs, executors, waiver and release all rights and claims for damages which may have or which have hereinafter accrue to me against A Kid Again, Kings Island, Steve Prescott, any subsidiary or political division thereof, their respective officers, agents, directors, representatives, volunteers, successors, assigns and sponsors for any and all damages or injuries which may be sustained and suffered by me in connection with my association with entry or participation in the event as is mentioned above. If I should suffer injury or illness, I authorize officials of the race to use their discretion to have me transported to a medical facility, and I take full responsibility for this action. I attest and certify that I am physically fit and have sufficiently trained for the completion of this event. I hereby grant full permission to any and all of the foregoing to use any photographs, videotapes, motion pictures, recordings, or any other record of this event for any purposes. Bicycles, in-line skates, and headphones are prohibited. I HAVE READ THE ABOVE RELEASE AND UNDERSTAND THAT I AM ENTERING THIS EVENT AT MY OWN RISK.

________________________________________________________________

Signature                                              Phone                           Date

 

________________________________________________________________

If under 18, signature of Parent/Guardian                               Date