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Nov 04 2014

PAC Yearbook Fundraiser-Stay the Course Relay Race

Stay the Course Cross Country Race

Please come join the fun and run!!

4 mile, 4 mile relay and 1 mile fun run (10 years old and under)

 

Date:

Saturday, November 15, 2014

 

Race Location:

Sesquicentennial State Park

9564 Two Notch Road

Columbia, S.C.

Park entry fees:

$2.00 (ages 16-64); $1.25 (ages 65+)

No charge for ages 15 and under

No charge for run/walk or relay participants

 

Race Cost

$20 for 4 miler

$30 per team for relay

$10 for fun run (10 years old and under)

Final Registration Payment will be ON-SITE ONLY.

please print, fill out and bring registration form on page two below

or prior to race day fill out commitment info and send to:

comstan@hotmail.com

Relay Team Registration:

Submit one entry form per team

Final Registration Payment will be ON-SITE ONLY.

please print, fill out and bring registration form on page two below

or prior to race day fill out commitment info and send to:

comstan@hotmail.com

Race day schedule and registration:

Register at Sesquicentennial State Park at Shelter behind Park Office

8:00 a.m.

9:15 a.m. 4 mile run/walk

4 mile relay (2 man teams)

9:45 kids fun run

11:00 a.m. awards

 

Race to be held rain or shine

 

Page 2

 

Stay the Course

 

ENTRY FORM(please fill out and bring with you)

Pass this form to your friends and invite them to run with you

 

Circle one:      4 mile run       4 mile relay     Kids Fun Run

 

Circle T-Shirt Size:      S          M         L          XL        XXL

 

T-Shirts will be available at $12 each on race day

 

 

Birthdate: (MM/DD/YYYY) Month________Day____________Year____________________

 

Circle:  Male    Female

 

Name____________________________________________

(If Relay, teammate Name)____________________________________________

NOTE: both team members must fill out a registration form

(Relay team Name)___________________________________________

 

Address_________________________________________City/State____________________Zip________

 

Phone_____________________________________

 

Email_____________________________________

 

Registration:

_______$20.00 4 mile run/walk

_______$30.00 per 2 man team for 4 mile relay.

 

_______$10 Kids Fun Run

 

_______$12 T-Shirt only

 

Waiver (must be signed) I hereby waive all claims against Providence Athletic Club, any sponsor, volunteers and all race officials  of this race for any illness or injury that may directly or indirectly result from participation in this event. I grant event organizers full permission to use photographs of me to promote this event. I understand that bicycles, in-line skates, skateboards, scooters and strollers are not permitted.

 

______________________________________________________________

Signature                                                                                 Date

(Parent or guardian if participant is under 18 years old)

 

FOR MORE INFORMATION

comstan@hotmail.com

(540) 550-2249

 

Fill out this form and bring with you