The Parish of Saint Gregory the Great and The Pines at Robbinsville are proud to announce their Co-Sponsorship of the 19th annual Joe Vastano Memorial 5-K Nite Run and 2-Mile Health Walk Friday, May 6, 2011 Coordinated by Baldasari and Leetsma Race Management
The Parish of Saint Gregory the Great and The Pines at Robbinsville are proud to announce their Co-Sponsorship of the 19th annual Joe Vastano Memorial 5-K Nite Run and 2-Mile Health Walk Friday, May 6, 2011 Coordinated by Baldasari and Leetsma Race Management Race Night: Start: Where:
Friday, May 7, 2010 7:00pm Sharp St. Gregory the Great Church 4620 Nottingham Way Hamilton Square, NJ 08690 (609) 587-1131 x3 Registration and Fees: Pre-Entry Fee: $15.00 5PM Day of Race Fee: $20.00 Family Walking as a Group: $30.00 (Maximum 2 Adults, 2 Children)
Awards: $100.00 to Overall Male and Female Winner Awards to Top 3 Men and Women in each Age Group: 13 & under; 14-18; 19-29; 30-39; 40-49; 50-59; 60+ Special Parishioners Category: Gift Certificates to Top Male and Female St. Gregory the Great Finishers! Prizes for all Children! Raffle for Walking Adults! Prizes for First and Last Five Walkers! Send Fee and Entry Form below no later than 5pm on GLDC, c/o The Race Team 4680 Nottingham Way Hamilton Square, NJ 08690 NO DUPLICATE AWARDS!
Joe Vastano Memorial 5K Nite Race and 2-Mile Health Walk Entry Form - Please read carefully and sign. Be sure to fill in date, age, sex and T-Shirt size. Please print unless signature is indicated. Make checks payable to GLDC. In consideration of your accepting this entry to the Joe Vastano Memorial 5K Nite Race and 2-Mile Health Walk, I waive all claims for myself, my heirs, and assigns against the Race Committee, Race Officials, Baldasari and Leestma Timing, GLDC, 5K and all sponsors and promoters for injury or illness which may result from my participation. I further state that I am in proper physical condition to compete in this race. In signing this form, I acknowledge I have fully read, and fully understand the official Entry Form and understand my own liability and accept the restrictions described therein.
_____________________________________________________________________ FAMILY NAME
________________________________________ FIRST NAME
________________________________________________________________________________________________________________ ADDRESS ______________________________________________ CITY __________________________________________ E-MAIL
CIRCLE EVENT – 5K
-
st
__________ STATE
__________________ ZIP
__________ AGE
2-Mile Health Walk
____________ GENDER
_____________________________ TELEPHONE
_________________________________ BIRTHDATE
PARISHIONER
_____YES _____NO
SHIRT SIZE: 1 ADULT:
S
M
L
XL
1st CHILD:
S
M
L
2nd ADULT
S
M
L
XL
2nd CHILD
S
M
L
EXTRA T-SHIRTS $6 each - SIZE & QUANTITY:
SMALL____
MEDIUM____ LARGE____
X-LARGE____
AMOUNT ENCLOSED______________________
Signature:_______________________________________________________Date:________________________ Signature of Parent or Guardian: ________________________________________ Date: ___________________________ (If Entrant is under age 18)