Friesen 5K Fun Run 1113 Bishopton Way Knightdale, NC 27545 Raleigh-Durham Parent or Guardian for Participant under 18 years of age_________________________________________________________________________________ Name(Print)________________________________________________Signature ______________________________________Date______________ I understand and accept that running a 5K event or 100 yard dash requires physical conditioning and that I am properly trained to participate in the event I selected. I also understand that this event takes place on roads and streets and there may be uneven or broken pavement which could result in a fall or injury. I accept these risks and will abide by the guidelines and instructions of the race committee, volunteers and security. I therefore hold harmless the Carolina Hurricanes, Gale Force Holding, Centennial Authority, NC State University, City of Raleigh, BTR Management, all sponsors and suppliers of this event. Entry Fee: Friesen 5K Fun Run - $30 ($35 beginning Sept. 1) $_______________ 100 Yard and 200 Yard Kids Dash - $10 $_______________ Make a donation to Leukemia & Lymphoma Society (separate check) $_______________ Total Amount Enclosed............................................................................................................$_______________ Make Checks Payable and mail to: Friesen 5K • 1113 Bishopton Way • Knightdale, NC 27545 Team Members: Captain’s Name_____________________________________________Team Name__________________________________________ Shirt Size (circle) YS YM YL S M L XL XXL Email________________________________________________________________Phone (__)____________________________________________ Address___________________________________________________________________City_____________________St__________Zip__________ Name____________________________________________________________________________Age(on 9/12/10)_____________Sex____________ ENTRY FORM (one participant per entry form) Head Trainer / Strength and Conditioning Coach for the Carolina Hurricanes Peter Friesen presents: EN PHYS IES IO FR ncraces.com Friesen Physio Fitness Friesen 5K Run with the Canes Sunday, September 12, 2010 9:00 AM RBC Center, Raleigh 100 Yard Kids Caniac Dash 6 year olds and younger - 10:15am 200 Yard Kids Caniac Dash 7 – 10 year olds - 10:20am Official Times Team Competition Presented by: friesenphysiofitness.com The Inaugural Friesen 5K Fun Run in 2006 was held to celebrate Carolina Hurricanes Head Trainer and Strength and Conditioning Coach Peter Friesen’s day with the Stanley Cup. In the 4 years, this event has been held, over 7000 Caniacs have participated and over $125,000 has been raised for the Leukemia & Lymphoma Society of Eastern North Carolina. Come out and run with Peter Friesen as well as several Hurricanes players, coaches and staff in this fun filled event around the RBC Center and surrounding parking lots. For updates on player participation: ncraces.com Friesen 5K Fun Run will be timing all 5K participants to give you an accurate time for the run. Timing chips must be tied to your shoes and will be given out at the race on Sunday. Be sure to allow enough time on race day to pick up your timing chip. Official Times Top 3 Overall Male and Female runners receive awards. All registered participants will be eligible for special drawings including autographed items donated by the Hurricanes players. Team Competition The Team Competition will receive awards in the following categories: 1. Most team members registered for the 5K 2. Most funds raised. The winning teams receive a special award from Peter Friesen and the Carolina Hurricanes. All teams must designate a Captain and have a team name. Funds raised must be turned in before the run on Sunday. Funds may be turned in at the office of the Leukemia & Lymphoma of Eastern North Carolina Monday, September 6th – Friday, September 10th 10:00 AM – 4:00 PM 401 Harrison Oaks Blvd • Suite 200 • Cary, NC 27513 Special note: You can leave your registration information and payment with LLS at this time as well. Drawing for Special Prizes All registered participants will be eligible for drawings that the conclusion of the races for autographed items from the Carolina Hurricanes players as well as special prizes from our sponsors and the Carolina Hurricanes organization. Race Day Registration and Packet Pick Up Sunday, September 12 RBC Center Lawn 7:00 AM until race begins Runner Information If for any reason beyond the control of the Race Director or Race Committee (i.e., inclement weather, state or national emergency) the race should be cancelled, no refunds will be made. Arrangements to pick up t-shirts will be posted on ncraces.com. We do not allow dogs or pets in our race. In addition, we do not allow skates, skateboards, bicycles or any means of transportation other than running or walking. Failure to obey these guidelines will result in removal from the race course per the Race Committee. Race Director reserves the right to remove any participant from the race or reject any entry at his discretion. The Leukemia & Lymphoma Society’s Eastern N.C. Chapter serves patients battling Leukemia, Lymphoma, Hodgkin’s disease and Myeloma in 49 Eastern N. C. counties. The Triangle based chapter, with a satellite office in Wilmington, raises money for research leading to a cure for the blood cancers and to enhance the quality of life for locat patients through services such as family support groups, educational programs and financial assistance. For more information on the Leukemia & Lymphoma Society, visit LLS.org or call (919)-677-3993. Friesen 5K Fun Run gratefully acknowledges our sponsors: RALEIGH ORTHOPAEDIC C L I N I C Race Day Schedule 7:00 am Registration and Packet Pick-up RBC Center (front lawn) 9:00 am Friesen 5 K Run 10:00 am Pancake breakfast will be served to all participants, compliments of the Carolina Hurricanes and the RBC Center 10:15 am 100-Yard and 200-Yard Kid’s Caniac Dash 10:30 am Drawing for participants Entry Fees Friesen 5K Fun Run $30 ($35 beginning September 1) All 5K runners will be timed and must pick up timing chips at Registration. If you do not desire an official time, you do not need to wear a chip. 100 Yard and 200 Yard Kids Caniac Dash $10 (includes shirt) - no late fee In order to guarantee your correct shirt size, you must register before September 1. For those registering beginning September 1, we will have shirts available at the race, but cannot guarantee your correct size. www.riversideprint.com For more information contact Butch Robertson, Race Director [email protected] ncraces.com • friesensphysiofitness.com
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