Rocky River Days 5k Charity Challenge

Sponsored by: 

Rocky River Republican Club

and Rocky River Democratic Club

(A Challenge to recruit the most runners/walkers)

To Benefit: 

·        Rocky River Senior Center

·        Rocky River Meals on Wheels

·        Rocky River High School PTA Scholarship Fund

5k Run / Walk and 1 Mile Walk through scenic Rocky River

Sunday July 12, 2009 8:00am

Rocky River Civic Center, 21012 Hilliard Rd, Rocky River

Prizes & Awards    

• $100 Second Sole Certificates to Winners
• Gift certificates awarded to age group Placers
• All race/walk finishers will be eligible for special raffle prizes

Entry Fees and Registration

Entry Fees: $20 on race day 

T-shirts to first 200 registrants

KID’S FUN RUN (weather permitting) Registration on the day of race.

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5th  Annual Rocky River Days 5k Charity Challenge (part of ThreesACharm.org )

Please make check payable to: Rocky River Days 5k Charity Challenge

For additional info:  www.riverdems.com or www.RockyRiverRepublicanClub.org

Or contact: David King 216-496-7602, or Paul Gallagher 216-496-2843

Name: _________________________________________________

Age_______ Sex_______

Address: ________________________________________________

City_______________  State_____   Zip________

Email Address:__________________________________________________________

Shirt Size: XL____ L ______ M_____  S_____

Charity Challenge Count (optional):   

Democratic ____ Republican ____ Independent _____

In consideration of the acceptance of my entry to the Rocky River 5k Charity Challenge, I do hereby, for myself, my heirs, executors, administrators and or assignees release, discharge and waive any and all claims against all event sponsors, directors, organizers, volunteers, whether jointly or severally, resulting from any and all injuries suffered by me as a result of my participation in this event and its associated activities. I hereby assume all risk inherent in participating in an activity such as this event. I further attest and certify that I am physically fit and am sufficiently trained for competition in this event.

________________________                    __________________________________

Signature of Participant                                       Signature of parent/guardian if participant under 18                        

100% of PROCEEDS DONATED TO CHARITIES