Brandi
Kay Bowen Scholarship 5K Entry Form
November 19, 2011, 10:00 A.M.
Cline Stansberry Stadium, West
This race is in memory of Brandi Bowen, a
standout athlete and citizen at
Course: Mostly flat. Starts and finishes on the
track at Cline Stansberry Stadium. Most of the race is
on Rails to Trails.
Awards: Trophies to the top male and female
finishers in each of the following age groups: 14-under, 15-19, 20-29, 30-44,
45-59, 60 and over, plus the top Male and Female walkers.
T-Shirts: T-Shirts are guaranteed to the first 85
entries. Sizes cannot be guaranteed as Shirts will need to be ordered before
all the entries have been received. Early registration saves you money and
increases your chance of getting the right size shirt.
Registration: $12.00 Entry Fee for all Registrations
postmarked by November 10, 2011.
$15.00
Entry Fee for all Race Day Registrations and those postmarked after November
10, 2011.
Race
Day Registration will be held from 8:30 A.M. to 9:30 A.M. at Cline Stansberry Stadium.
Mail
Completed Application and Entry Fee made payable to Brandi Kay Bowen
Scholarship Fund; 404 Bent Tree Court,
Contact
Information: For additional information, please contact race directors
�����������������������������������������������������������������������
TO PRE-REGISTER,
PLEASE COMPLETE THE INFORMATION BELOW AND FOLLOW MAILING INSTRUCTIONS.
NAME:
_________________________________________�
ADDRESS:______________________________________�� CITY:_____________________���� STATE:_____����� ZIP:_____
T-Shirt Size����������� S������������� M����������� L������������� XL���������� I plan to WALK________ RUN___________
����������������������������������������������� (Please
Circle One)��������������������������������� (Remember,
if you sign up to walk you may not run at all during the event)
E-Mail Address:
__________________________________
(so I can e-mail you
results and next year�s entry form)
Release Waiver:��������������������������������������������������������������������������������������������������������������������������������������������������
In consideration of
acceptance of this entry, I waive any and all claims for damages that may
result from my participation, or for the participation for the minor that I am
signing for, in the Brandi Bowen Scholarship 5K. Any and all claims are waived
for myself, heirs and assigns. The sponsors, their
agents or representatives, and/or property owners where the event is being held
will assume no obligation for injuries or damages that may be incurred.
___________________________________________��������������������������� ___________________________________________________
Signature
of the Runner��������������������������������������������������������������������� Signature
of Parent or Guardian if applicant is under 18 years of age.
Please Make Checks
Payable to Brandi Kay Bowen Scholarship Fund and mail to