5th Annual Kerry Blue Hustle 5K Race/Walk & Half-mile Kids’ Dash May 16, 2015 Date/Time: Saturday, May 16, 2015: 9:00 am 5K Run and 10:00 am Half-mile Kids’ Dash Start/Finish: 10-12 Church Street, Glens Falls at St. Mary’s-St. Alphonsus Regional Catholic School Course: Starting on Church Street, including a segment of the bike path, looping around East Field with some longer straightaways. Mostly flat and fast! And… a big hit with both the young and the young-at-heart: three water stops! Day of Race Registration: 7:30am-8:45am SMSA School Cafeteria Register: Go to www.smsaschool.org to print and mail your application and payment. Or go to www.active.com for online registration and pay with credit card. Email questions to: kerrybluehustle5k@gmail.com . Entry: $20 in advance paid by check, or $20 online (by April 15th for shirt guaranteed). Race Day $25 (shirt if available.) Awards: Top 3 overall, M/F, top 3 finishers M/F in 5 year age brackets - incl. 9 & under, 10-12, 70+. Award given to fastest M/F SMSA Alumni time. Kids’ Half-mile Dash: Free! 1/2 Mile Run for children. In lieu of entry fee, a donation to the St. Mary’s food pantry is appreciated. Ribbons to all participants. Directions to SMSA School: Start/Finish at SMSA. From the famous Glens Falls Roundabout, take Ridge St. North to a right on Maple St., Church St. is on the right. (No Parking will be available on Church St.) Parking is available on Maple, Pearl and Warren Streets, or behind the St. Mary’s Church. Benefits: This fund-raising event celebrates SMSA’s volunteerism and community spirit, as well as our connection to East Field and the Greater Glens Falls Community as a whole. All proceeds will benefit SMSA and St. Mary’s Food Pantry. _________________________________________________________________________________________________ Mail Entry to: Kerry Blue Hustle, c/o Babette Donlon, 10-12 Church Street, Glens Falls, NY 12801 Kerry Blue Hustle Waiver: I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained to complete the event. I assume all risks associated with running this race, including, but not limited to falls, contact with other participants, runners, bikers, cars, horses and other animals, the effects of weather, including heat or cold and precipitation, traffic, and the conditions of the trails and roads, such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I myself and anyone for whom I am entitled to act, waive, release, and will hold harmless the race organizer, SMSA, all other sponsors and property owners, and all the agents, employees, officers, directors and volunteers working for those entities from all claims and liabilities of any kind arising out of or related to my participation in this race. I understand that headphones, Roller Skates and Dogs are NOT allowed in this race. First Name____________________________Last Name__________________________ Street Address____________________________________________________Phone___________________________________ City_____________________________________State_______________________________________Zip____________________ email address______________________________________________________________________________________________ age on race day_______________Gender: M F SMSA Alumni?(circle) Yes No If yes, class of _____________ Participant Signature (parent if under 18)______________________________________________ Date_______________ T-shirt (circle one): Women's t-shirt: WS WM WL WXL, Men's t-shirt: MS MM ML MXL M2XL , Youth's t-shirt: YM YL NOTE: Separate entry forms/ waivers must be completed for EACH participant.