Red Bird Run 5k run and walk/Kids Fun Run

							                    Red Bird Run 5k run and walk/Kids Fun Run
                                 Sunday May 15 2011 9AM kids run, 5K/walk at 9:15

                                              Location: Red Bird Elementary School

                                             1956 Red Bird Rd, Madison Ohio 44057


An Out and Back course along the shores of Lake Erie!
                                                     Great Door Prizes and Music

The race will benefit the Madison high school track and cross country teams

Pre-race registration is $12 (includes a T-shirt) Must be mailed by May 1st

Race day registration $15 (includes a T-shirt) while supplies last

Awards: First Male and Female overall $50 Second Male and Female overall $30 Third Male and Female
overall $25 Top 3 in age group both male and female-Age groups (14 and under)( 15 to 19) (20-29)( 30 to
34)(35-39) (40-44)(45-50)(50-60) (60+)All kids in the fun run will receive a medal

Race director (Jeremy Verdi) 440-413 9123

Pre-registration can be mailed to RED BIRD RUN 1456 Lakeview Ave. Madison Ohio 44057
        ______________________________________________________

Entry Form - Red Bird Run 5k run and walk/Kids fun run

T-Shirt: (S, M, L, XL

NAME ______________________________________________________________ AGE ___________

ADDRESS __________________________________________________________________________

CITY/STATE/ZIP _________________________________________________GENDER (M /F) ________

E-MAIL _____________________________________________ PHONE ________________________

Waiver: I know that running a road race is a potentially hazardous activity. I am in proper physical condition to compete in this run/walk and
assume all risks associated with my participation including, but not limited to, falls, contact with other participants, and the effects of the
weather including high heat and/or humidity, traffic, and the conditions of the road, all such risks being known and appreciated by me. I will not
wear headsets or any device that restricts my hearing or other perception. In consideration of this entry, for myself and anyone entitled to act
on my behalf, I waive and release all race officials, volunteers, sponsors, and any others associated with this event. Furthermore, I hereby grant
the agents of this event permission to use photos or any other record of me in this event.

____________________________________ DATE ________Signature of participant /Parent or guardian’s signature if less than 18 years of age