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THE GOOD SAMARITAN SHELTER, INC

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THE GOOD SAMARITAN SHELTER, INC Powered By Docstoc
					THE GOOD SAMARITAN SHELTER, INC.
THE 1ST ANNUAL
PRESENTS:

Sat. May 9, 2009 - 9 AM - Phoenixville, PA
ALL PROCEEDS TO BENEFIT THE GOOD SAMARITAN SHELTER, INC.
A Christian ministry that provides emergency shelter, transitional housing and other critical services to homeless men in the Greater Phoenixville area.
LOCATION/REGISTRATION: Starts at the Schuylkill Canal Association Recreation Area, Lock 60. Look for signs! Parking and Registration at St. Michael’s Park. COURSE: Enjoy a fresh spring morning along the Schuylkill Canal on flat and fast ground. Great course to set a personal best! AMENITIES: T-shirt to all preregistrants postmarked by 4/28. Refreshments for finishers, toilet facilities, time clock at finish and instant results. Held rain or shine. No refunds or mailed awards. Results on www.pretzelcitysports.com in 5-6 days. AWARDS: Awards for the first place male & female: 18 & Under: 3M, 3F 19 - 29: 3M, 3F 30-39: 3M, 3F 40-49: 3M, 3F 50-59: 3M, 3F 60+: 3M, 3F (awards will not be mailed – must be present to pick up your award!) ENTRY: $22 if postmarked by April 28, 2009. Afterwards, including day of race, $25 GENERAL DIRECTIONS FOR ALL: Parking is at St. Michael’s Park. From Phoenixville: left at light just past Produce Junction onto Jacobs street. Follow road to St. Michael’s Park entrance. Visit http://www.schuylkillcanal.com/ for more info and maps. MAIL CHECK PAYABLE TO “The Good Samaritan Shelter, Inc.” & FORM BELOW TO: The Good Samaritan Shelter, Inc. ,PO Box 551, Phoenixville, PA 19460. RACE DIRECTOR: Scott Shellhammer: (610) 283-7956 or goodsamrun@gmail.com. …………………………………………Please Print Clearly….…………………………………………….. Last name First name ________________________________________

Address ____________________________________________________________________________ City/State _____________________ Phone: ( Zip _________ Race day age: M L XL Date of birth / / Gender: YES M NO F

)_________________ Shirt Size (circle one):

Add to Good Samaritan mailing list?

email ________________________________@_______________________
WAIVER: I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I also know that there will be traffic on the course and assume the risk for running in traffic. I also assume any or all other risks associated with running or attending the race including but not limited to falls, contact with other participants, the affects of the weather and the condition of the roads, all such risks being known and appreciated by me. Knowing these facts, and in consideration of your accepting my entry fee, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive, release and discharge Pretzel City Sports, Reading Area Community College and any subcontractors it utilizes, all municipalities in which the race is held, the race committee, volunteers, any and all sponsors including their agents, employees, assigns or anyone acting for on their behalf, or anyone else associated in any way with the race, from any or all claims or liability for death, personal injury or property damage of any kind of nature what so ever arising out of, or in the course of, my participation in this event(s). This waiver extends to all claims of every kind or nature what so ever, foreseen or unforeseen, known or unknown. I HAVE READ AND UNDERSTAND THIS WAIVER: (if under 18, legal guardian must sign)

ADDITIONAL DONATION: $_______________ Signature

AMOUNT ENCLOSED: $ _________________ date / / 2009


				
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