Wildcat Dash 2014 form January 11, 2014 10:00AM

December 29, 2013

Date: Saturday, January 11, 2014, 10:00am                 Contingency Date: Saturday, January 25, 2014               

Course:  The race Start is on Matson Ave in front of the Deer Park Board of Education Building will go east down Matson, left down Plainfield Rd, all the way down until it takes a left down Blue Ash Rd, and takes left again on E. Galbraith Rd.  The route then goes left again on Plainfield Rd, left down Matson Ave, and right in to Chamberlin Park.  In the park the route goes counterclockwise around the half-mile track and then follows the straight path on through the Finish located in Board of Education parking lot.

Parking:  There will be limited parking in the back parking lot of the Board of Education Building off of Plainfield Rd, along the street on Plainfield Rd, and in the Municipal Building parking lot off Matson Ave.  Once full, parking is self-determined. 

Awards:  Top five males and top five females will receive medals.

Registration:  Pre-registration is available by mailing your entry form and fee, postmarked by Friday, January 3, 2014, or online at www.sprunning.com by Tuesday, January 7, 2014.  Pre-registration fees for the 5K are $20.00 and include a beanie. 

Race Day Registration starts at 8:30a.m. in the Healy Community Center in Chamberlin Park(Plainfield Rd entrance).  Race Day registration fees are:  $25.00 for the 5K (includes beanie while supplies last).

Race-day Pick-Up: Chip timers, bibs, and beanies will be available to pick-up starting at 8:30am the morning of race-day.

Post-Race:  Refreshments after the race.  Drawings will be held, all participants automatically entered to win.  Awards will be given to the overall winners.

Questions: Call 513-891-0010

 

_______________________________________Official Race Entry Form _____________________________________

 

 

First Name: ____________________________________        Last Name________________________________________

 

Gender: ____M ____F     Age (on race day):______          Division:   ___ 5KRun   ___5KWalk    

 

Email:_____________________________________________________

 

Address:__________________________________________   Daytime Phone:______________________________________

       

City:_______________________________________   State:________________________  Zip:______________

 

Waiver:  In consideration of the acceptance of my entry, I hereby waive on behalf of myself, my heirs, executors, and assigns, any and all claims of any nature arising from or due to my participation in the Wildcat Dash.  I also hereby release Deer Park Community City Schools, Steve Prescott, all sponsors, workers, officials, and volunteers from any and all claims arising from or due to my participation in this event.  I agree to follow 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 or walk, and have trained and prepared adequately in preparation for this event.  I HAVE NOTED ANY MEDICAL CONDITION ON THE REVERSE SIDE OF THIS FORM.  I permit the use of my name and picture of participation in this event for publicity, for no additional consideration.  I also understand that entry fees are non-refundable.

 

Signature_______________________________________________   Date:___________________

 

Parents Signature (if under 18)___________________________   Date:___________________

 

Emergency Contact__________________________ Phone Number:________________________

 

Mail this form and check by Friday, January 3, 2014 to: Wildcat Dash, c/o Steve Prescott, P.O. Box 454, Mason, OH 45040      

 

Make check payable to:  Deer Park City Schools