leesburg in the long run for children

SATURDAY, APRIL 28TH
CHEHAW PARK
Albany, Georgia
Kids 1 mile Fun Run/Walk – 8:00 am
4 & 8 mile TRAIL RUN – 8:30 am
4 and 8 mile Trail Run Awards: Recognition for Overall Male & Female Winners, and Male and Female Masters
Winners. Also, the top 3 males & females from the following age groups:
<10, 11-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
Kids 1 Mile Fun Run Awards: All participants under the age of 15 will receive a medal. In addition, awards will be
presented to the Overall Male & Female Runner under the Age of 15.
AWARDS will follow completion of the race. No awards will be mailed.
Directions: From Albany: Get on the US Hwy 19 Bypass. Take the Jefferson Street Exit towards Leesburg. Take a right
at Philema (Hwy 91) intersection and the park will be approximately 1 mile on the left.
Run Starting Location: Chehaw Park Mountain Bike Trailhead (next to BMX Track), 105 Philema Road Albany, Georgia
31701
Refreshments: Gatorade, snacks, and water will be available.
Registration & Entry Fees: Online Registration is available at Active.com until Thursday April 26th at 11:59 pm. Mail-in
entries must be received by April 23rd. Pre-registration prices are 4 Mile - $20, 8 Mile - $25, 1 mile Fun Run - $15.
*** Race Day Entry Fees increase $5 - Race Day Registration begins at 7:00 am & closes at 7:50 am
---------------------------------------------------------------CHEETAH CHASE TRAIL RUN ENTRY FORM
Name_______________________________________________ Phone: (____)__________________
Address:___________________________________________________________________________
City, State, Zip_______________________________________________________________________
E-mail address:_______________________________________________________________________
Age as of 4-28-2012:_____________ Sex: Male or Female (please circle one)
Shirt Size: YS_____ YM_____ YL_____ S_____ M_____ L_____ XL_____ XXL_____
Entry Fee: Pre-Registration: 4 mile $20________ 8 mile $25_______ 1 mile $15_______
Race Day:
4 mile $25________ 8 mile $30_______ 1 mile $20_______
Please make checks payable to: South Georgia Cycling
Mail form to: Amy Fix, 2546 Bascom Drive, Albany, GA 31707
For more information, email: [email protected]
Or visit us on Facebook at http://www.facebook.com/ChehawCheetahChase
Waiver: In consideration of the acceptance of this entry, I hereby for myself, my parents, my heirs, executors,
administrators and assigns, release and discharge all sponsors, organizers, promoters, directors, or persons connected
with the Chehaw Cheetah Chase and the Parks at Chehaw from any and all claims for damages suffered by me as a
result of my participation in or traveling to and from said event. I further state that I am in proper physical condition to
complete the event which I have entered, and further agree that the above mentioned sponsors, organizers, promoters,
directors, or persons connected with the event are under no obligation to provide physical examinations or other evidence
of my fitness to participate in such event.
Signature: _____________________________________________Date:___________________
(Parent or Guardian if participant is under 18 years of age)
Emergency Contact Name:________________________________Phone:__________________
For the safety of all participants, no pets or strollers allowed on the race course. This is a true trail run on a single-track
trail. All runners should expect roots, uneven terrain, and a great time in nature!