2012 Wildwood Crest 5K Beach Race the Borough of Wildwood crest presents
Saturday, Aug. 11, 2012
Entry Form Prizes WILDWOOD CREST
5K BEACH RUN
Make checks payable to the Borough of Wildwood Crest 5K run: Prizes will be awarded to the
Mail to: Borough of Wildwood Crest Recreation Department top three male and female finishers, as
6101 Pacific Avenue Wildwood Crest, NJ, 08260
well as the top male and female finishers
in each age group (19 and under; 20-29; A 5K Run and
Last Name First Name 30-39; 40-49; 50 and over). One-Mile Fun Run/Walk
Refreshments served following race.
City State Zip Aug. 11, 2012
at 8:30 am
Home Phone Work Phone
Email Garden State Parkway to Exit 4B.
_____________________________ Follow over bridge into Wildwood.
Make right at the end of the road (seventh
Long-sleeve T-shirt size S M L XL XXL traffic light) onto Ocean Avenue.
Please Circle Take Ocean Avenue 9 blocks. Recreation Center will
T-Shirts guaranteed to all participants registered by Aug. 1 be on the right.
and as supplies last to those registered after Aug.1
Event Entering (Check One)
_____ 5K Run $15 ($20 after Aug. 1)
_____ 1 Mile Fun Run/Walk $10 ($15 after Aug. 1) Wildwood crest
Rain or Shine event. No Refunds.
Cash only if registering after August 1. 609-523-0202
Waiver/Release: In consideration of this entry being accepted, e-mail: firstname.lastname@example.org
I hereby for myself, heirs, executors, and administrators waive and Held on the beautiful beaches of
release any claims I may have against the Borough of Wildwood Crest, www.visitwildwoodcrest.com Wildwood Crest, beginning and ending at the
GWTIDA, and any and all parties, groups, organizations, volunteers,
staff, sponsors and (or) representatives involved in Crest 5K Beach www.wildwoodcrest.org Wildwood Crest Beach Pier
Race for injuries that may be suffered by me in this event. I agree to
abide by all basic safety rules established by race organizers. Further,
(Heather & the Beach)
I state that I am physically able to compete in the event entered and
grant permission to use my photographic likeness for promotional
Signature (of parent if under age 18) date
5K BEACH RUN
for a 5K Run and
Saturday, August 11, 2012 One-Mile Fun Run/Walk
on the beautiful beaches of Wildwood Crest,
beginning and ending at the Wildwood Crest Beach Pier
Packet pickup for all (Heather & the Beach)
Friday, Aug 10 from 6 - 8:00 p.m.
Race Day Registration begins at inforMation
7:00 a.m. at the Wildwood crest recreation
Crest Pier Recreation Center e-mail: email@example.com
Heather Road & Ocean Avenue www.wildwoodcrest.org