Churubusco Turtle Days 2012

TURTLE RUN 5K

WALK/RUN

ROAD RACE

(ALL PROCEEDS TO BENEFIT CHURUBUSCO YOUTH FOR CHRIST & TURTLE DAYS)

EXTRA DONATIONS WELCOMED

WHEN:           JUNE 18, 2011

REGISTRATION 7:00 AM                           RACE 8:00 AM

WHERE:        CHURUBUSCO MIDDLE SCHOOL (BACK PARKING LOT)

                        *LOCATED BY TRACK/FOOTBALL FIELD

COST:            $15 PRE-REGISTRATION (POST MARKED BY JUNE 4, 2011)

*A T’SHIRT IS GUARANTEED FOR ALL PRE-REGISTERED ENTRANTS

                        $20 DAY OF RACE

                        ***Family rate available for 3 or more, at $40 per family.

DIVISIONS:   RUNNER:  MALE & FEMALE 12-UNDER, 13-19, 20-20, 30-39, 40-49, 50-59, 60-69, 70+/WALKER: TOP 3 OVERALL

FOR MORE INFORMATION CONTACT:  JON PELZ (260) 433-6993 (LEAVE MESSAGE IF NEEDED WITH A NUMBER TO CALL BACK)

CHECKS PAYABLE TO:

YOUTH FOR CHRIST

6427 Oakbrook Parkway

Name: _______________________________________   Phone: (    ) _____________

Address: _______________________________________ Sex: M   F   Age:  ______

City: ___________________ State: ____ Zip:__________      Shirt size:  S    M    L   XL

In consideration on acceptance of this entry, I waive for myself, my heirs, and assigns, any and all claims of damage against the Turtle Days Race Committee and their representatives, for any/all injuries received before, during and after this event.  I attest and verify that I am sufficiently conditioned to participate in this event.

Signature ____________________________________________________________ Date: ______________

                             (Parent or Guardian signature required if under 18)