THE TAMAQUA AREA ADULT DAY CARE CENTER PRESENTS

THE 6TH ANNUAL HELP

5K RUN/WALK

SATURDAY, MAY 8, 2010 9:30 AM

COURSE: Up hill the first half mile through Odd Fellows Cemetery, then down hill and rolling hills out old Rt. 209 and back. Fast downhill finish.

ENTRY FEE: Pre-Registration $15.00 by Thursday, May 6^th, which includes a commemorative

t-shirt to first 100 entrants.

DAY OF REGISTRATION: - $20.00 (limited number of t-shirts as long as they last)

AWARDS AND AGE GROUPS: Top male and female runners receive a plaque. The top male and female walkers get a plaque as well. 2^nd and 3^rd place male and female walkers will receive medals.

5K-Run Male (Medals): 11 and under (3), 12-14 (3), 15-19 (3), 20-24 (3), 25-29 (3), 30-34 (3), 35-39 (3), 40-44 (3), 45-49 (3), 50-54 (2), 55-59 (2), 60-64 (2), 65-69 (2), 70 and over (2)

5K-Run Female (Medals): 11 and under (3), 12-14 (3), 15-19 (3), 20-24 (3), 25-29 (3), 30-34 (3), 35-39 (3), 40-44 (3), 45-49 (2), 50-54 (2), 55-59 (2), 60 and over (2)

Prize Drawing for all registrants. Must be present to win.

Race registration will be held from 8:00 – 9:15 AM at the Tamaqua Area Adult Day Care Center on Saturday, May 8, 2010 which is located at 300 W. Broad St. Tamaqua. The 5K run and walk will start promptly at 9:30 AM. Walkers will line up behind the runners. Both the walk and run will start and finish on Swatara St. Race will be held rain or shine. Additional race applications are available at www.mogorun.com/helprace.htm or at the Adult Day Care Center.

REGISTRATION FEE PAYMENT: Make checks payable to the Tamaqua Area Adult Day Care Center. Please send entry form and payment to: Tamaqua Area Adult Day Care Center P.O. Box 485 300 W. Broad St. Tamaqua, PA 18252.

Any questions, contact Philip Koles (8AM to 3 PM) at 570-668-6577 or 668-6556 (leave a message) or contact Joe Mogilski at mogorun@ptd.net.

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THE 5th HELP 5K FOR TAMAQUA AREA ADULT DAY CARE CENTER ENTRY FORM

Pre-registration-$15.00 by Thursday, May 6^th

Day of Registration (8:00 AM to 9:15 AM) $20.00

NAME:____________________________________PHONE:_____________________

ADDRESS:__________________________________________AGE:_____GENDER:_____

CITY:________________STATE:______ZIP:_______DATE OF BIRTH:_________

T-SHIRT SIZE: (circle one) M L XL XXL Circle one RUN WALK

WAIVER APPROVAL (ALL ENTRANTS MUST SIGN)

In consideration of the acceptance of my entry, I, intending to be legally bound, do hereby, for myself, my heirs, my executors and administrators, waive, release and discharge any and all rights and claims which I may have, or which may hereafter accrue to me against the Mogorun Timing & Results, LLC., The Tamaqua Area Adult Day Care Center, the Odd Fellows Cemetery, the Borough of Tamaqua and Schuylkill Township, and any and all agents, sponsors, and promoters, for any injuries or illness suffered by me while participating in and traveling to and from this event.

SIGNATURE OF ENTRANT:____________________________DATE:_____________

SIGNATURE OF PARENT IF UNDER 18:____________________________________