Documents
Resources
Learning Center
Upload
Plans & pricing Sign in
Sign Out

LIONS CLUB

VIEWS: 5 PAGES: 2

									                                                                                               THE
                                                                       BIRMINGHAM
                                                                       BIRMINGHAM
                                                                       BIRMINGHAM
                                                           LIONS
                                                            LIONS
                                                         LIONS CLUB
                                                           28TH ANNUAL
                                                          29TH ANNUAL
                                                                      28TH ANNUAL
                                                                       33rd ANNUAL
                                                                     29THANNUAL
                           5K-10K & 1 MILE WALK
                          5K-10K & 11MILE WALK
                            5K-10K & MILE WALK
                 LEADER DOG RUN FOR THEVISUALLY IMPAIRED
                LEADER DOG RUN FOR THE for the BLIND
                     LEADER DOG RUN VISUALLY IMPAIRED
            SSU N D A Y , , S E P T E M B E R 2 4, 2 0 0 6
                   SUNDAY, SEPTEMBER 26, 2010
               U N D A Y S E P T E M- B E R 2 4, 2 0 0 6
                             (STARTING TIME 9AM)
                            (STARTING TIME - 9AM)
             10,000 METER RUN FOR THE BLIND (STARTING TIME - 9 AM)
                                                 PRE-REGISTRATION                                                                                  STARTING TIME:
               10,000 METER RUN FOR THE BLIND     PRE-REGISTRATION                                                                                  STARTING TIME:
              When: Sunday, September 24, 2006            By mail or at Total Runner, anytime
              METER RUN September BLIND
       10,000 When: Sunday,FOR THE24, 2006                       REGISTRATION
                                                           By September 16. Please anytime
                                                       throughmail or at Total Runner,don't mail             STARTING TIME:
                                                                                                            Race Starts - 9:00 AM
            Where: Corner of Merrill and Pierce          through September 16. Please18 mail                 Race Starts - 9:00 AM
                                                                                                       Registration 7:00-8:30 AM only
                                                               entries after September don't            Registration 7:00-8:30 AM only
              Where: Corner of Merrill and Pierce
                     In Downtown Birmingham.
        WHEN: Sunday, September 26, 2010                            ENTRY September 18
                                                                 entries after FEES                         Race Starts - 9:00 AM
                        In Downtown Birmingham.                (includesREGISTRATION
                                                                LATE T-shirt & awards):                             EVENTS:
            Entry Fees:WHERE: T-Shirt
                          (Includes                               LATE REGISTRATION
                                                               and PACKAGE PICK-UP                                   EVENTS:
                                                                                                      10k Run - 5k Run - 1 Mile Walk
                                                                                                       Registration 7:30-8:30 AM only
                                                                                                       10k Run - 5k Run - 1 Mile Walk
              Entry Merrill and Bates
                             (Includes T-Shirt
          Corner ofFees:and Awards) by the                            PACKAGE PICK-UP
                                                                 andAt Total Runner
                                                             $20 thru Sunday Sept. 19
           Community House Awards)
                             and in Downtown                                                                         ROUTE:
                                                           By mail, at At Total Runner
                                                                       Total Runner, or on-line
                   $18 through September 16
                       (New Starting Place)
        Birmingham.$18 through September 16           29207 Northwestern Hwy. Southfield, MI      AVisa or MasterCard accepted at Total
                                                                                                     10,000 Meter,ROUTE:
                                                                                                                       5,000 Meter and a One
                                                                                                   A Walk Meter, 5,000 Meter and a One
                                                        29207 Northwestern Hwy. Southfield, MI Mile10,000over a protected course through
                                                                     September 19-23                           Runner and on-line
                  $ 20 from September 17 to 23
                         ROUTE:                          $22 Sept. 20-25 at Total Runner,
                                                                      September 19-23             downtown over a protected day)
                                                                                                  Mile Walk(but not on Racecourse through
                                                                                                               Birmingham and picturesque
                          from September Walk
                    $At5K Run - 1 Mile 17 to 23
                      20Total Runner Only                           FREEon-line
                                                                       or PARKING:                 residential Birmingham and picturesque
                                                                                                   downtown areas. Fun races with many
            10K Run - At Total Runner Only                            FREE PARKING:
                                                          At parking structure adjacent to the      residential all ages, races with many
                                                                                                   divisions forareas. Funmen and women.
                                                                                                       PRE-REGISTER ON-LINE at:
             over a protected course through                                                        divisions for all ages, men and women.
                       $25 September 24th                   At parking of Merrill and Pierce
                                                          starting pointstructure adjacent to the
                                                           $25 Sept. 26 at race site only             www.gaultracemanagement.com
        downtown Birmingham and picturesque
                At Race Site only: 7:00 -24th
                          $25 September 8:30AM              starting point of Merrill and Pierce   FOR MORE INFORMATION CALL:
                                                                   (cash or check only)             FOR MORE INFORMATION CALL:
         residential areas. Fun races with8:30AM
                  At Race Site only: 7:00 - many                                                              thru Sept. 25 (noon)
                                                                                                      TOTAL RUNNER 248-354-1177
         divisions for all ages, men and women.                                                        TOTAL RUNNER 248-354-1177
                                                            CERTIFIED SEPT 21-25
                                                       PACKAGE PICKUP COURSE at:
                                                              CERTIFIED COURSE                    FOR MORE INFORMATION CALL:
                   FREE PARKING:                                       AWARDS
                                                                   TOTAL RUNNER                      TOTAL RUNNER 248-354-1177
                                                                         AWARDS
                      10K & Pierce or
                    Merrill and 5K RUNS: MALE and FEMALE Northwestern Highway
                                                            29207 - TROPHIES or MEDALS in each 5 YEAR AGE GROUP
                         10K and 5K RUNS: MALE and FEMALE - TROPHIES or MEDALS in each 5 YEAR AGE GROUP
           Chester & Martin Parking Structures “15” THROUGH “70+” - - 1st, 2nd,& 3rd PLACE
                                                                                1st, 2nd,
                                                                 Southfield, MI 48034 & 3rd PLACE
                                                  “15” THROUGH “70+”                                        All entry fees are non-refundable

                                        ***TOTAL RUNNER WILL ACCEPT VISA and MASTERCARD***
                                          ***TOTAL RUNNER WILL ACCEPT VISA and MASTERCARD***
                                                     (Credit Cards Not Accepted on Race Day)
                                                      (Credit t AWARDS & PRIZES Race Day)
                                                              Cards Not Accepted on t
                                                  ALL ENTRY FEES ARE NON-REFUNDABLE
                                                   ALL ENTRY FEMALE - Awards in each 5 YEAR
                                     10K and 5K RUNS: MALE andFEES ARE NON-REFUNDABLE AGE GROUP
                                                                       OR
                                                                         - 1st,
                                                   “15” THROUGH “70+”OR 2nd, & 3rd PLACE
                                     REGISTER ON-LINE AT www.gaultracemanagement.com thru September 18
                                               SPONSOR dONATEd PRIzES wILL bE dISTRIbUTEd
                                      REGISTER ON-LINE AT www.gaultracemanagement.com thru September 18

                                                        t RESULTS t
     ENTRY FORM: Please print clearly in spaces provided. Mail entries and make checks payable to: BIRMINGHAM
       ENTRY FORM: Please print clearly in spaces provided. Mail entries and make checks payable to: BIRMINGHAM
     will be scored withTotal Runner 29207 Northwestern Hwy., Southfield Michiganand online 248-354-2245.
       Lions Club. c/o the disposable Chrono Track timing system and posted race day 48034 Fax 248-354-2245.
Race Lions Club. c/o Total Runner 29207 Northwestern Hwy., Southfield Michigan 48034 Fax at www.gaultracemanagement.com
    Name: Last _____________________________________ First ___________________________Middle Initial ____________
      Name: Last _____________________________________ First ___________________________Middle Initial ____________
    Address_________________________________________ City _______________________State _______Zip______________
      Address_________________________________________ City _______________________State _______Zip______________
    Phone __________________________________ Age on Race Day____________ Male____________ Female ____________
E      FORM: Please print clearly in spaces provided. Mail Race Day____________ Male____________ Female ____________
  NTRYPhone __________________________________ Age on entries and make checks payable to: BIRMINGHAM Lions Club.
        Event (Check one)                                       ■ 1 Mile Walk                                     ■ 5K                                       ■ 10K
c/o Total Runner 29207 Northwestern Hwy.,■ 1 Mile Walk
        Event (Check one)
     T-shirt size
                                                                         5K
                                         Southfield, Michigan 48034 Fax■Large
                                                                      ■ 248-354-2245.
                                      ■ Med.
                                                                                                                                                             ■ 10K
                                                                                                                                                             ■ X-Large
           T-shirt size                                           ■ Med.                                           ■ Large                                   ■ X-Large
    Visa __________________________________________________ __________Signature _________________________________
       Visa _____MC ______# _____________________________Exp. First ________________________________ Middle Initial_________
Name: Last _____MC ______# _____________________________Exp. __________Signature _________________________________
        Running a road race involves risk of serious injury. Potholes and other surface defects exist on the course. Motorists, cyclists, pedestrians and animals may accidentally or
         _____________________________________________________ to serious health problems. Ihave read and understand animals may Zip ___________
Address Running a road race involvesAlso, ofphysical injury. of of long-distance race candefects exist on______________________ understand this statement and agree to
                                      risk
     deliberately create hazards. Also, the
        deliberately create hazards.
                                             serious
                                                     strain
                                                             Potholes and other surface
                                           the physical strain
                                                                a                          lead to City
                                                                    a long-distance race can lead
                                                                                                   serious health problems. I
                                                                                                                               have read and
                                                                                                                                                State _________ accidentally or
                                                                                                          the course. Motorists, cyclists, pedestrians and
                                                                                                                                                           this statement and agree to
        assume all risks of personal injury or other physical or emotional ailment. I hereby waive all liability claims against the City of Birmingham, County of Oakland,
           assume all risks of personal injury or other physical or emotional ailment. I hereby waive all liability claims against the City of Birmingham, County of Oakland,
        Birmingham Lions club, Total Runner and any or all other sponsors.
       Birmingham Lions club, Total Runner and any or all other sponsors.
Phone ______________________________________________________ Age on Race Day ___________ Male _________ Female _______
        SIGNATURE _______________________________________________________________________Date: ___________________
          SIGNATURE _______________________________________________________________________Date: ___________________
      _______________________________________________________________________________________________________________
Email PARENT oror GUARDIAN if under 18yrs. of Age _______________________________________Date:___________________
        PARENT GUARDIAN if under 18yrs. of Age _______________________________________Date: ___________________

Event (check one)              q 1 Mile Walk               q 5K           q 10K run                    T-shirt size       q Small        q Medium           q Large         q X-Large

Visa ________ MC_________ # __________________________________ Exp. __________ Signature _______________________________

Running a road race involves risk of serious injury. Potholes and other surface defects exist on the course. Motorists, cyclists, pedestrians and animals may accidentally or deliberately create
hazards. Also, the physical strain of a long-distance race can lead to serious health problems. I have read and understand this statement and agree to assume all risks of personal injury or other
physical or emotional ailment. I hereby waive all liability claims against the City of Birmingham, County of Oakland, Birmingham Lions Club, Total Runner and any or all other sponsors.

SIGNATURE __________________________________________________________________________________ Date: __________________

PARENT or GUARDIAN if under 18yrs. of age ________________________________________________________ Date: __________________
Birmingham Lions Club
c/o The Community House
280 S. bates St.
birmingham, MI 48009

								
To top