Run Like a Brave 5K March 23rd, 2013 -- 9am Elkwood Golf Course in Union County Fairgrounds, Sturgis Preregistration Entry Fee $20 / Race Day Entry Fee $25 Name:__________________________________________ Address:________________________________________________________ City:______________________________ State: _______ Zip: _____________ Phone: ( ___ )________________________________ Email: ___________________________________________Date of Birth: ____/____/____ Age: _______ Gender: ____M ____ F Team/School Name: _______________________________________ Teams must enter a minimum of five runners. Team members must preregister. Select Race: 5K Run School age child ___ (free if preregistered) UCPS Staff ___ ($10 if preregistered) Mail Entry Form & Payment by 03/08/13 to : 1 Mile Fun Run/Walk Shirt Size: Circle one Youth XS Adult S S M M L L United Community Bank c/o Jim Peak 500 North Morgan St. Morganfield, KY 42437 No shirt -- please donate cost of shirt to event proceeds. XL XXL ($3extra fee) XXXL ($3 extra fee) RELEASE OF RESPONSIBILITY (MUST BE SIGNED BY PARTICIPANT OR BY PARENT/GUADIAN IF UNDER 18) Runners must be careful to register and run under their proper name, sex, and age division to avoid disqualification. In consideration of accepting my entry, I , intending to be legally bound, do hereby for myself, my heirs, my executors, and administrators, do waive and release forever, any and all rights and claims for damages I may accrue against all persons and agencies, namely Union County Public Schools, Union County Cross Country Boosters, and Union County YMCA, all of its agencies and any Run Like a Brave Race sponsors involved with promoting the race as listed by their successors, representatives, and assigns for any and all injuries suffered by me while traveling to and from and while participating in any Run Like a Brave competition on March 23, 2013 in Union County, Kentucky or during any run mentoring sessions affiliated with the Run Like a Brave races. I further state that I am in proper physical condition to participate in this event. I also release publication rights to photographs taken of me during any Run Like a Brave event for purposes of publicity for this and future Run Like a Brave events. _____________________________________________________________ Signature ________________ Date ______________________________________________________ Parent Signature (if under 18) Run Like a Brave 5K March 23 – Union County Fair Grounds, Sturgis AWARDS All Union County school age children who preregister and complete either race receive a T-shirt. 5K Awards: *Trophies for Over All Male & Female Winners *Medals for 1st, 2nd, 3rd place finishers in each age group for males & females *Trophy (and bragging rights) for first place team (Combined finish place of first 5 runners) 1 Mile Fun Run/Walk: Medals for Over All Male & Female Winners 9 & Under 10-12 13-15 16-18 19-24 The School who has the most team members finish the race wins a plaque. Run Like a Brave Again May 25, 2013– Run For the Roses (Morganfield Park) 25-29 30-39 40-49 50-59 60 + Run Like a Brave 5K March 23rd, 2013 -- 9am Elkwood Golf Course in Union County Fairgrounds Preregistration Entry Fee $20 / Race Day Entry Fee $25 Organized by Union County Cross Country Braves A Big Brave Whoop to Our Sponsors Methodist Hospital Union County River View Coal, LLC Union County YMCA United Community Bank Run Like a Brave Again May 25, 2013– Run For the Roses (Morganfield Park)