MollyOckett Day Classic Road Races Thanks to these sponsors: Presented by Online registration and course maps available at: www.mollyockettdays.com/races Race t-shirts guaranteed to first 125 registrants Prizes & awards to top 3 in each age division MollyOckett Day Classic Road Races Course Information Saturday, July 18, 2015 Start/Finish near Bethel Common. Water stations on 5-mile course and refreshments at finish. 1 Mile Kids’ Run— NEW COURSE FOR 2015— gentle loop on village streets. 5 Mile Run—challenging loop out Vernon Street and over Paradise Hill 2 Mile Walk—loop through village and up Eden Ridge Day-of Information 1 Mile Run 7:00-8:00am : Registration & check-in 8:15am: Race start 5 Mile Run & 2 Mile Walk 7:00-8:45am: Registration & check-in 9:00am: Race start Promoting affordable outdoor sports and activities for all ages since 1978. For lodging, camping, and other area info, contact: Bethel Area Chamber of Commerce info@bethelmaine.com (800) 442-5826 www.bethelmaine.com 5 Mile Run 2 Mile Walk 1 Mile Kids’ Run Presented by Organized by BOC is a 501(c)3 non-profit SCHEDULE 5 Mile Run & 2 Mile Walk 7:00-8:45 am: Registration & check-in 9:00 am: Race start Saturday, July 18, 2015 5 Mile Run 2 Mile Walk 1 Mile Kids’ Run MollyOckett Day Classic Road Races Presented by: Kids’ 1 Mile Run 7:00-8:00 am : Registration & check-in 8:15 am: Race start REGISTRATION 5 & 2 Mile Kids’ 1 Mile $18 $12 By 7/12 $25 $15 After 7/12 Check in at The Bethel Inn Resort’s lawn on Broad Street. Awards ceremony & refreshments at the finish area immediately after the races. REGISTER ONLINE AT www.mollyockettday.com/races Name: __________________________________________________________ Address: ________________________________________________________ City: ____________________________State ________ Zip_______________ Email:____________________________________________________________ T-shirt size: Adult: S M L XL Child: M L DOB______ /______/ ______ No refunds within 14 days of event. Exp date:______/ ______Security code: _________________ #_________________________________________________________ Or pay by credit card (Visa, MC, AMEX, Disc.): Checks payable to: Phone: ___________________________________________Sex: M F Bethel Outing Club PO Box 637 Bethel, ME 04217 Age on 12/31/15: ____ Division: Kids’ 1 Mile Run (14 & under) 5 Mile Run 2 Mile Walk Emergency Contact Name: _____________________________________________________________________________________________________________ Phone:___________________________________________ Cell Phone:____________________________________ Will this person be at race? Yes No Release from Liability—Please read carefully before signing. I hereby acknowledge that participation in these MollyOckett Day Classic competitions carries with it potential hazard. I am aware that vehicular traffic and pedestrians will be using the same roadways and that a collision could cause injury or death. In consideration of the acceptance of this entry, I, the undersigned participant, intending to be legally bound do hereby for myself, my heirs, executors, administrators, or assigns, waive, release and forever discharge and indemnify any and all rights and claims that I may have against the Bethel Outing Club, Bethel Area Chamber of Commerce, Town of Bethel, and any and all sponsors and promoters and/or its officers, agents, representatives or assigns, for any and all liability from the MollyOckett Day Classic Road Race. In the event of the need of medical attention, I authorize the race officials to use their discretion to have me transported to a medical facility and administer medical aid and will take full responsibility for such action. I hereby attest and verify that I am physically fit and have sufficiently trained for this competition. I also understand that photos taken of me or my family members may be used for BOC/Chamber purposes, including, but not limited to: websites, print brochures, or newspaper advertising. I hereby agree that in the event of a race cancellation due to a storm, rain, or inclement weather, winds, or other “Acts of God” conditions, my enrollment fee shall be non-refundable. I have read and agree to abide by the race rules. (Parent or Guardian if competitor is under 18) SIGNATURE: __________________________________________________________________ Date: _____________