Register online at www.berryvillechamber.com ENTRY FORM (please print clearly) Name: _____________________________________ Address: ____________________________________ City: _______________________________________ State: _________________ Zip: _________________ E-mail: _____________________________________ Gender: _____Male _____Female Race: ________5K _________1 Mile Walk Birthdate: (____/_____/_____) Age on Race Day: ___ _ Shirt Size: ____YL ____S ____M ____L ____XL ____XXL *NOTE: Official Race Shirt & Size preferences cannot be guaranteed if registration form is received after 6/3/16 **Add $5 for ____3X ____4X ____5X** Early Registration Discount 5k Run (Postmarked by June 3, 2016): $25 After June 3rd, or Race Day Registration: $30 Students 18 & under may register as a school for $15 5k & 1 Mile Fun Walk 1 Mile Fun Run / Walk: $15 Mail completed, signed form with your check or money order to: Berryville Chamber of Commerce Attn: ICE CREAM SOCIAL RACE P. O. Box 402 Berryville, AR 72616 RELEASE: By submitting this entry form, I waive, release and forever discharge any and all claims, rights, and causes of action against sponsors, organizers, and representatives of the 2016 Berryville ICS 5k and One Mile Fun Walk / Run for injury or illness which may result from my participation in the races and events surrounding the race. I state that I am in the proper physical condition to participate in this event. I acknowledge that the sponsors and organizers of this event have not undertaken to provide the undersigned with any medical care, treatment, or advice concerning my participation in this event. Signature: _____________________________________________ Signature of Parent or Guardian: _____________________________________ June 10, 2017 8:00 a.m. Race Day Registration & Packet Pick up begins at 6:30 a.m. Race Begins on the Historic Berryville Square For More Information contact: Greater Berryville Area Chamber of Commerce (870) 423-3704 A FUN & FAST RUN AND WALK! Don’t miss this fun and nostalgic 31st Annual Historic Berryville Ice Cream Social 5K and One-Mile Walk. With all the fun and small town charm, this is a great event for the whole family The 2 day event starts Friday, June 10 on the Historic Berryville Square We ALL Scream for Ice Cream!!! Berryville is located between Eureka Springs and Green Forest. Starting and finishing on the historic Berryville Square; the course winds through residential sections of our town and this 5k course is flat and fast! Reward yourself and celebrate your successful race or walk with a complimentary ice cream. The best part of the race may well be the ice cream each participant receives upon completion of the race. A well-deserved treat! Relax after the race by enjoying the Ice Cream Social’s entertainment, booths and activities. Enjoy festival food and shopping and treat yourself to a stroll on the Historic Berryville Square. After your race, enjoy a morning on the historic square and a classic good time with vendors and festival food at our 2017 32nd annual Ice Cream Social. Visit the Ice Cream Social and have a scoop! 5k Race COMMEMORATIVE AWARDS… Overall male and female awards will be given in the 5K, plus top-three medals awarded in ten-year spans for male and female divisions; 20-29, 30-39, 40-49, and Masters 50+. Special age categories have been designated for youth ages under 20; 10 & under, 11-14, and 15-19. The one-mile Fun Run / Walk will award the top three male and female finishers . Don’t miss your chance for a PR! The ICS 5K course record is… Men: 15.00 Women: 16.21 Race packets and shirts may also be picked up on race day morning at race start line. FAST AND EASY REGISTRATION: Race day registration begins at 6:30 a.m. www.BerryvilleChamber.com The race will be chipped timed by Y-timing OR Live results will be available at www.ytiming.net Mail registration to: Greater Berryville Area Chamber of Commerce Attn.: Ice Cream Social Race P. O. Box 402 Berryville, AR 72616
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