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A flashback of the

Run/Walk Routes: 5K Run: Start at corner of Indian River Ave & Broad St. Cross over bridge and continue till turnaround at KSC Portable Gate. Back across Bridge. Finish Line @ Sand Point Park.

~OR~

SCS Scorpion Scurry 2011

2mi Walk:

Start at corner of Indian River Ave & Broad St. Follow pedestrian sidewalk to cross over bridge. Cross street at bridge end to opposite pedestrian side-walk. Cross back over bridge. Back across bridge to Finish Line @ Sand Point Park.

Electronic Chip Timing

~Concurrent SCS Event~

5th Annual SCS Family Fit Fest Get the Facts on Nutrition! Sculptor Charter School extends the invitation further by welcoming the community to the main pavilion at Sand Point Park to enjoy additional festivities during and/or after the run/walk. With nutrition as this year’s theme, this interactive family event will help you kick“Start the New Year On the Right Foot”! You will leave with a “whealth” of information and ideas for your 2012 New Year’s resolutions! This event is still in the planning stages but more information will be available very soon. So far, plans include wellness info, health screenings, organic produce & plants, and many community representatives & vendors.

ual

2nd Ann

For more information, please contact: Clarissa Kirk (321) 264-4000 ext. 131 kirk.clarissa@sculptorcharter.org or Marty Winkel (321) 537-3526 runsalot@cfl.rr.com

These Events brought to you by: Sculptor Charter School 1301 Armstrong Dr, Titusville, FL 32780 www.sculptorcharter.org

5K

Saturday December 31, 2011 This year’s proceeds will be shared between The City of Titusville & Sculptor Charter School to support Titusville’s Fireworks Fund, local families in need, & SCS Facilities.


Event Specs:

Registration Form Payment & Packet Pick-up Details: Packets will be available on Thursday, 12/29/2011 and Friday, 12/30/2011 at the locations below. Select desired location:

Event Date: Saturday, December 31, 2011 Day of Event Registration: 7:00am

Start Time & Location: 8:30am, Sand Point Park, Titusville Registration Fee: Adult - $25 Student (under 18)- $20

Early Bird Pre-Registration Fee (register before Dec. 19th to receive $5 OFF): Adult - $20 Student (under 18)- $15 Register & pay online by visiting www.active.com –or– complete & return adjacent form, with entry fee, to Sculptor/A. Max Brewer Bridge 5K, P.O. Box 2, Titusville, FL 32781. Make checks payable to Sculptor Charter School.

Participant Last Name

First Name

 Sculptor Charter School-Gym 4:30-7:00pm

1301 Armstrong Dr, Titusville, Fl 32780 (321) 264-4000

Street Address

 Running Zone (during store hours) City

State

(

Zip Code

 Daddy Ultra Run

)

(during store hours) 602 Brevard Ave, Cocoa, Fl 32922 (321) 806 3935

Phone #

 Sand Point Park 5:00-7:00pm

Email Address (please circle:)

Titusville

Male / Female ~ Adult / Student

Participant Packet: Pick up on Thursday,

12/29/2011 or Friday, 12/30/2011 at desired location (see registration form). Packet will include a Souvenir T-shirt and other exclusive participation gifts! Every Participant will receive a commemorative wristband.

Recognition Ceremony: Immediately following run/walk end. One Male & One Female Runner will be recognized in each of the categories below:  Top 3 Overall  Top Master(40+) Overall  Top 3 Finishers per Age Group

/

/ Age on 12/31/11

Route Choice: (circle one)

5K

or

T-shirt Size: (circle one) S

M

L

Or Youth

S

M

Note: Packets not claimed from the locations above will be available on the Day of the Events at Sand Point Park from 7am to 8:15am.

Total amount enclosed: $_______

DOB

Adult

3696 N Wickham Rd, Melbourne, Fl 32935 (321) 751-8890

L

XL

XXL

2mi

In consideration of the entry for the A. Max Brewer Bridge 5K, I, for myself, my heirs, executors and administrators, waive and release all claims against Sculptor Charter School (B.I.C.S.), City of Titusville, Brevard County Parks & Rec, DOT, SCEM, and all contractors (including photographers), promoters, sponsors, supporters and volunteers, for all claims of damage, injuries, demands, actions in any manner as a result of my/family’s participation in the event. _____________________________________ ____________ Signature (parent/guardian/responsible party) Date

Reminders: Make checks payable to Sculptor Charter

School. Registration forms with payment may be returned to Sculptor or mailed to Sculptor/A. Max BrewMore Info on back er Bridge 5K, P.O. Box 2, Titusville, FL 32781.


2nd Annual A. Max Brewer Bridge 5K Run