SATURDAY MAY 16TH, 2015

 

REGISTRATION/CHECK-IN TIME BEGINS @: 7:00 AM

 

RACE TIME: 9:00 AM

 

SOUTH MIDDLETON PARK, BOILING SPRINGS, PA

 

T-SHIRTS GUARANTEED TO FIRST 250 PRE-REGISTERED WALKERS/RUNNERS

MEDALS GUARANTEED TO ALL RUNNERS

 

FEE: $25 PRE-REGISTERED BY May 15TH, 2015

 

FEE: $35 ON RACE DAY

 

 

• First Name     _________________ *Last Name     __________________

 

• Participant Address  _________________________________________

 

• Email Address ____________________________________________

 

• Phone Number ________________________________Ex. (800-555-1212)   

 

• Gender    

 

 

• T-Shirt Size (S,M,L,XL)__________      * Number/Names of Participants ______

 

* Total Amount Enclosed  (Cash/Check)________________________

 

Send Cash/Check with Registration to 221 Evergreen Drive, Boiling Springs, PA

 

* Check made payable to Sadler Health Center in the memo box

  MUST include Rachel’s D.I.N.    

 

      Paying w/ Credit Card:

 

Go to http://TimberHillTiming.com/Registration.php?event_id=233

Click the More button: Registration For Credit Cards

 

In consideration of the acceptance of my entry/my child's entry, I for myself or my child, our executors, administrators, and assignees....do hereby release and discharge the organizers of this race and all other sponsors and organizers of all claims and damages, actions whatsoever in any manner arising out of my/my child's participation in said athletic event. I attest and verify that I have full knowledge of the risks involved in this event and I am/my child is physically fit and sufficiently trained to participate in this event. Further, I hereby grant full permission to any all of the foregoing to use my/my child's name, photographs, videotapes, motion pictures, recordings or any other record of this event for any legitimate purpose without compensation or remunerations.

 

*Signature Required For Registration _____________________________________

 

 

*Initials of parent/guardian required if participant is under 18 years of age ___________