5K Beach Race application 2012

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					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.
Age          Sex
                                                                           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: wildwoodcrestpier@yahoo.com
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
                                    WILDWOOD CREST
                                    5K BEACH RUN

                                                                                         Join Us!
                                                            for a 5K Run and
Saturday, August 11, 2012                                One-Mile Fun Run/Walk
           8:30 a.m.
                                                  on the beautiful beaches of Wildwood Crest,
                                             beginning and ending at the Wildwood Crest Beach Pier
       Packet pickup for all                                          (Heather & the Beach)
    pre-registered participants
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: wildwoodcrestpier@yahoo.com
Heather Road & Ocean Avenue            www.wildwoodcrest.org

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