5th Annual S

& 1 Mile

5k Ru / alk
Fun Walk

Benefitting Therapeutic Care for Trauma & Grief Stricken Children

Date: Sunday, April 27, 2014

Location: Amorosos, 305 Pylesville Road (Route 165), Pylesville, Maryland

Start time: 8:00 AM (arrive early if you have not picked up your race pack)

Entry Fee: $20/person for TEAMS of 10 STUDENTS (MUST BE 18 or under) or more

Pre Race Packet Pick Up: Friday & Saturday, April 25th & 26th,
9:00 AM - 5:00 PM, Model A Fitness, Broad St. Ext., Delta, PA 17314

Awards: Top 3 Overall Male & Female; Top 3 / Age Group Male & Female; 19 & Under,
20-29, 30-39, 40-49, 50-59, 60 & up
Prize for the team that show the best TEAM SPIRIT BE CREATIVE!

Course: Beautiful scenic route through Pylesvilles farm land, also known as Gods country.
(No strollers a llowed)

Amenities: T-Shirt* for each participant, post race refreshments, water station(s), course police, volunteers, signs
throughout the course. The first 100 5k registrants will receive a running shirt (*sizes limited) all others will receive a
standard t-shirt. *Shirts are limited and sizes are only guaranteed while supplies last.

- TEAM Registration Form for STUDENTS -

_________________________________________________________________________________________________________________ _________________________________
First Name Last Name MI DOB

_________________________________________________________________________________________________________________ _________________________________
House#, Street City State Zip Age on RACE DAY

________________________________________________________________________________________________________________
Telephone# EMAIL S M L XL
T-shirt size - unisex*
*T-shirt only guaranteed for first 100 registrants, regular or team. Sizes limited and not guaranteed. Shirts not guaranteed on race day.

Student Fee - $20 Cash
Check

(made payable to Sunshines Angels)

WAIVER/RELEASE
Must Be Signed: In consideration of the acceptance of my entry, I, on behalf of myself, my heirs executors and assignees, hereby release and discharge
Sunshines Angels, the race director, Harford County, volunteers and race sponsors of all claims, damages, demand, actions, whatsoever in any manner
arising out of my participation in said athletic event. I attest and verify that I have full knowledge of the risks involved in this event and I am physically
fit and sufficiently trained to participate. Further, I hereby grant full permission to any and all of the foregoing to use my name photographs, recordings
and other record of this event for any legitimate purpose, without
compensation or remuneration.
I am a member of Team:


__________________________________________________________________________
______________________________________________
Signature Date
(parent or guardian signature if under 18)

MAIL registration form, along with payment to: PO Box 192, Street, MD 21154
OR Drop off at Model A Fitness, 950 Broad St. Ext., Delta, PA 17314