THE
THE 4TH ANNUAL HELP
5K RUN/WALK
SATURDAY, MAY 10, 2008 9:30 AM
COURSE: Up
hill the first half mile through
ENTRY FEE: Pre-Registration $15.00 by Thursday, May 8th,
which includes a commemorative
t-shirt to first 75 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. 2nd
and 3rd 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)
Race registration will be
held from 8:00 – 9:15 AM at the Tamaqua Area Adult Day Care Center on Saturday,
May 10, 2008 which is located at
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
Any questions, contact Philip
Koles at (570) 668-6577 (8-3 PM) or (570) 668-6556 (leave a
message) or Joe
Mogilski at
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THE 4th HELP 5K FOR TAMAQUA
AREA ADULT DAY CARE CENTER ENTRY FORM
Pre-registration-$15.00 by
Thursday, May 8th
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
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:____________________________________