NORTH ADAMS COMMUNITY SCHOOLS STRIDES FOR STUDENTS 5K RUN/WALK

SATURDAY, AUGUST 5, 2017 RACE LO

CATION:
8:15 AM START 1000 Nor Bellmont
th Adam Hig
s Drive, D h School Campu
ecatur, IN s
AWARDS 46733
Packet Pick Up & Registration: 7:30-8:00 AM : Awards
1st, 2nd, pro
3rd place vided to Top Male
runners in & Female
each age Runners:
AGE GRO g roup.
UPS: 14 &
59, 60-6 Under, 15
9, 70+ -18, 19-29
, 30-39, 4
0-49, 50
COURSE -
DESCRIP
This race is a part of the Adams County Race T IO N: Race w
ill be a pa
Challenge Series. Go to C H IP TIMING: ved road
Th e race
p o s te ra c e w
http://www.adamscounty5kchallenge.com d o n the Ada il l b e
ms Coun chip timed with r
to register for the series. ty 5K web esults
REGISTRA site
TION: Pre
(pre-regis -Registra
tration d tion: $20
Race Day eadline 7 .00 inclu
Registrati / 27) des a t-s
supplies o n : hir t
last. $ 20.00 inclu
des a t-s
hir t while
Cut along line & return form
ENTRY FORM & WAIVER OF LIABILITY MUST BE SIGNED
IN ORDER TO PARTICIPATE

Make checks payable to: North Adams 5K.

PLEASE PRINT.
Name:
Address:

City:
State: _____________ Zip:
Phone:
Email:

Date of Birth: _______/________/________

Age: ____________ Gender: M or F
Shirt Size [please circle]:
Youth: S M L
Adult: S M L 2XL other: _______

Signature:
[Entry must be signed by participant]
Date: _________________________________

Signature [Legal Guardian]:

[If participant is under 18 years of age, the signature of a

legal guardian is required.]
Mail registration forms to: Leah Thompson | 625 Stadium Drive | Decatur, IN 46733