ONE ENTRY PER APPLICATION — APPLICATION MAY BE REPRODUCED
LAST NAME
MI
FIRST NAME
■■■■■■■■■■ ■
■■■■■■■■■■
ADDRESS
■■■■■■■■■■■■■■■■■■■■■■■■■■
CITY
STATE
■■■■■■■■■■■■■■■ ■■
HOME PHONE ■ ■ ■ ■ ■ ■ ■ ■ ■ ■
AGE (On race day) MALE FEMALE
ENTRY FEES
(Required for competitive racers.)
$15.00 Entry Fee
$20.00 Late Entry Fee
after October 6th
■■
■
■
COMPETITION
■
5k Race:
5k Run
Competitive 2K Race*:
■
■
5k Run BOE Employee
Ages (8 - 10)
■
1K Fun Run:
7 & under
■
Ages (11 - 14)
Anyway 2K: (not timed)
No age required
■
School/Affiliation
Competitive 2K only
Youth Large
■
■
ABSOLUTLEY NO
CARRIAGES,
STROLLERS, BIKES
SKATES OR SKATEBOARDS WILL BE
PERMITTED ON THE
TRACK.
Make check payable to:
MIDDLETOWN TOWNSHIP
EDUCATION FOUNDATION
For In-School Campaign
Adult Size
T-Shirt Only/Donation - $14.00
before October 6th
■■■■■
S
M
L
XL
No Shirt
XXL
■
School
date
parent/legal guardian signature if athlete is under 18
In case of emergency, please notify
20th Annual
OF MIDDLETOWN
phone
Saturday, October 24, 2009
MIDDLETOWN TOWNSHIP EDUCATION FOUNDATION
Come join your friends and neighbors in the “Great Race of
Middletown.” Run with pride in the race for Quality Education. All
proceeds from your tax deductible entry will fund programs which
enrich the Middletown School District.
Runners may register and pick up entry packets on
on race day between 10:30 a.m. and 12:00 p.m.
PRE-REGISTRATION DEADLINE
October 6th! Late registration $5.00 extra. T-SHIRTS
GUARANTEED TO ALL PRE-REGISTERED RUNNERS.
No refunds.
Water available at Finish Line and other designated points in
all runs. First Aid stations at Finish Line.
INFORMATION
Joan Minnuies (732) 495-3585 Race Application, information
and results are available at: www.eliteracingsystems.com
THE COURSE
VOLUNTEERS
Beginning at Middletown High School North the course
moves through relatively flat residential areas, 5K USATF
. finish line
cer tified. Splits each mile. Professional timing and
management.
This race could not exist without the dedication of hundreds
of volunteers. If you are interested in becoming a volunteer,
please call Pam Brightbill at (732) 741-5972
DIRECTIONS TO LOCATION
All pre-registered entrants and donors will be eligible for random drawing prizes. Trophies to first female and male runners
in the 5K. Cash Awards to top 3 male and female finishers
overall and to top male and female masters. Trophy to school
with top 5 coed finishers in competitive 2K ages (8-10) and
(11-14). Prizes to all finishers in the 1K Fun Run. Awards in
the following categories to male and female runners:
Please log on to www.middletownk12.org for directions
to High School.
TIME
In consideration of this entry acceptance, I hereby for myself, my heirs, executors, and administrators, waive any and all claims for damages I may have against Middletown Township, Middletown
Township Education Foundation, Middletown Township Board of Education, Race Volunteers and all sponsors or any other individual associated with the above for any and all injuries sustained
in this event. I will additionally permit the use of my name and pictures in broadcasts and telecasts, etc. I further attest and verify I am physically trained for the competition of this race and my
physical condition has been verified by a licensed medical doctor.
REGISTRATION/PACKAGE PICKUP
AID STATION
Teacher
Your cancelled check is acknowledgement of receIpt. Please sign waiver.
signature
MIDDLETOWN TOWNSHIP EDUCATION FOUNDATION
■■■■■
Mail to:
THE GREAT RACE
P.O. BOX 337
MIDDLETOWN, NJ 07748
*Adults can run the same competitive race as their child but will not be eligible for an award.
SHIRT SIZE
ZIP CODE
• 5K RACE
• COMPETITIVE 2K
• 1K FUN RUN
• ANYWAY 2K HEALTH WALK/RUN
5K RUN
FIRST AWARDS CEREMONY
COMPETITIVE 2K (11-14 yr. olds)
COMPETITIVE 2K (8-10 yr. olds)
1K FUN RUN (5-7 yr. olds)
ANYWAY 2K HEALTH WALK/RUN
FINAL AWARDS CEREMONY
12:00 p.m.
1:00 p.m.
2:00 p.m.
2:30 p.m.
3:00 p.m.
3:30 p.m.
4:30 p.m.
SAFETY
No bikes, skateboards, or skates will be allowed.
ENTRY FEES
$15.00 Pre-entry with multi-color T-shirt
$20.00 Late entry - After October 6th
DIVISIONS AND AWARDS
5K: 19th Anniversary pint glasses will be awarded to the first
100 male and the first 100 female finishers. Awards to the top
3 male and female Middletown BOE employees. Awards in the
following categories:
Cash Awards To:
Top M/F Finishers: 1st - $100.00 2nd - $50.00 3rd - $25.00
First Masters M/F: $25.00
5K:
Age:
14-18
19-29
30-39
40-49
50-59
60+
Awards:
1-2-3
1-2-3
1-2-3
1-2-3
1-2-3
1-2-3
COMPETITIVE 2K:
Age:
Awards:
8
1-2-3
9
1-2-3
10
1-2-3
11
1-2-3
12
1-2-3
13
1-2-3
14
1-2-3