REGISTRATION Tawasentha ONLINE: Go to www.guilderlandrec.com or www.Active.com MAIL: Please make check payable to Guilderland Rec Dept. and mail to: Tawasentha Mud Mania, 181 Route 146, Altamont, NY 12009 Mud Mania! Note: You must have both payment & a signed waiver in order to participate! ! ! Please visit our website at www.guilderlandrec.com or Tawasentha Mud Mania 5K! www.townofguilderland.org or email us at email@example.com Wanna Get Down & Dirty Name: _____________________________ Female: ___ Male: ___ Birth Date & Year: ___________ MAIL IN REGISTRATION: No mail-in registrations will be accepted after June 1, 2011. with Us?! Phone: ___________Email: _______________ ON-LINE REGISTRATION: On-line registration will end June 15, 2011. Address: ____________________________ NO RACE DAY REGISTRATION! City: ___________State: ___ Zip: __________ _____ INDIVIDUAL ($2O) TAWASENTHA MUD MANIA! Please Read Carefully Before Signing TEAM NAME: _______________________ I know that running an obstacle course/mud run race is a T-SHIRT SIZE: S M L XL XXL potentially hazardous activity. I should not enter to run unless I am medically able and properly trained. I agree to abide by Please indicate which time you would like to run your race. All races the decision of the race official relative to my ability to safely complete the run. I assume all risks associated with will take place every 30 minutes. Indicate 1st, 2nd, 3rd choice. participating in this event, including but not limited to, falls, ____ 12:00Noon Elite Mud Mania Challenge(Prizes for the top 3 tripping, contact with other participants, the effects of weather, trail hazards associated with trail running, including ! ! men & women) water & mud hazards, traffic & conditions of the road, all such risks being known and appreciated by me. Having read this ____ 12:30 PM! ! ____ 2:00 PM waiver and knowing these facts, and in consideration for acceptance of my entry, I for myself and for anyone entitled to Awesome Kids & Adult ____ 1:00 PM! ! ____ 2:30 PM act on my behalf, agree to indemnify the Town of Guilderland, ____ 1:30 PM! ! ____ 3:00 PM Guilderland Parks & Recreation Department, ARE Event Productions, all sponsors, volunteers, race management, from Tawasentha Mini-Mud Mania 1K! any and all claims or liabilities of any kind arising from my participation in this event. I will abide by all guidelines set by race management, including but not limited to, that baby Obstacle Course & Fun Run! _______ CHILD (AGES 7-14) ($5) _______ CHILD (AGES 6 & UNDER) - FREE! joggers, headphones and animals are not permitted during my participation in this event. I agree that my entry fee is not refundable or transferable for any reason. I also grant Saturday, June 18, 2011 Choose a Wave for the Kids’ Run: ______ 1:15pm or 2:15pm______ permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of the event for any legitimate purpose. 12:00 Noon - 4:00 pm A portion of all racers’ registration fees will be donated to Improvements at the Tawasentha Park Childrens’ Playground SIGNATURE: ________________________________________________ (Parent signature required if under 18 years of age.) Tawasentha Park TOTAL AMOUNT ENCLOSED: $_______ DATE: ______________________________________________________ • Race waiver must be signed for entry to be accepted. Route 146 You will be notified by Email of your starting time. Email Address for N otification: • The race director reserves the right to accept or deny any entry. Guilderland, NY ____________________________ COSTUMES ARE ENCOURAGED! Prizes will be awarded for VOLUNTEERS NEEDED! Volunteers are needed to help out with ARE YOU READY TO GET the best team costumes (minimum 4 people)! We’ll even supply the face paint - and MUD! Put a team together with parking, packet pickup, course marshalling, etc. All volunteers will get a free T-shirt and are invited to stay for the after party and DOWN & DIRTY? your favorite muddy buddies and have an awesome time! live band. SPONSORS NEEDED! If you or your business is interested in being a PACKET PICK-UP LOCATIONS & DATES! You can pick up On Saturday, June 18th, we invite you to join us at the your packet at the Parks & Recreation Office, located sponsor, there are many sponsorship opportunities available. TAWASENTHA MUD MANIA FUN RUN. The races will take across from Tawasentha Park at 181 Route 146 from 9:00 Please contact the Parks & Recreation Department at 456-3150 or place at Tawasentha Park, 188 Route 146, Guilderland, NY. am - 4:00 pm on Friday, June 17th. Otherwise, you can pick email Dennis Moore, Director of Parks & Recreation at The course is designed to challenge you to a series of up your packet on race day at the large pavilion at firstname.lastname@example.org to learn how your company can be a obstacles as you run around Tawasentha Park & the Winter Tawasentha Park AT LEAST ONE HOUR BEFORE YOUR RACE. part of the Tawasentha Mud Mania! Rec Area. The adult race is a 5k course and the kids race is MUD MANIA PARTY! All participants are invited to TAWASENTHA MUD MANIA PHOTOS! After the race, you can go to a 1k course (kids stay in the main park). You’ll have fun celebrate the day with beach volleyball, Mudville Tot www.townofguilderland.org to view your photos! running, walking, climbing, crawling through lots of Playground, kids’ activities including pony rides, hay wagon obstacles, fording the Normanskill, and much, much more! rides, free swimming (weather permitting), music, food & WE’RE LOOKING FOR KIDS, ADULTS & ALL FUN-LOVING All participants must complete the entire course and go refreshments. There will be a live DJ and performances by ADVENTURERS OF ALL ABILITIES LOOKING through all obstacles to be eligible for awards and timing. the live band, October Circle. Remember to bring a change FOR A WILD TIME! Course marshalls will be on hand to guide you along the of clothes so you can participate in the post-race fun! TAWASENTHA MUD MANIA is sponsored by the Town of Guilderland course. DIRECTIONS & PARKING! From Western Avenue (Route 20) Parks & Recreation Department BE PREPARED TO GET WET & MUDDY! Wear old clothes & turn left onto Route 146 (by the Stewarts) and proceed a A portion of all racers’ registration fees will be donated to shoes, bring a change of clothes and a towel (fire hoses will quarter mile down Route 146. The entrance to Tawasentha improvements at the Tawasentha Park Children’s Playground be on hand to soak you down!). Park will be on your left. Volunteers will direct you to parking. Thanks to our Sponsors! TAWASENTHA MUD MANIA MINI FUN RUN! Kids 7-14 can also enjoy the fun and excitement of getting wet and WE ENCOURAGE ALL PARTICIPANTS TO muddy! The kids will run a 1k course in the main park that PLEASE BRING A FOOD PANTRY ITEM FOR will end with a slip ‘n slide adventure into the TAWASENTHA THE LOCAL FOOD PANTRIES! MUD PIT! MUDVILLE TOT PLAYGROUND! Little ones can play in the mud at the children’s playground or just have fun on the playground equipment! GO TO TAWASENTHA MUD MANIA!
Pages to are hidden for
"Tawasentha Mud Mania_"Please download to view full document