2015 Old Fashioned Family Picnic & Charity Drive
Friday, August 28, 2015 • 4:30 PM – 9:30 PM
Ironwood Community Park • Between 14th Avenue & East Chestnut Street • Lebanon, PA
Kauffman’s BBQ Chicken (Pre-Ordered) Meals will be available for pick up between 4:30 & 7:30 PM
A special thank you to The Ironwood Community Foundation for donating the park for this event!
EVENT REGISTRATION
All registrations are available online at www.lvccsummerpicnic.com or
Please FAX to: (717) 273-7940
Or scan and email to: [email protected]
NOTE: The # of players on a team or comp are listed - You can sign up individually and we will place you on a team or
you can sign up the entire team on one form and we will make sure you are together.
Basketball Tournament starts at 5:30 PM – There will be 3 players per team. • Volleyball Tournament starts at 5:30 PM – There will
be 6 players per team. • 5:00 PM / Watermelon Seed Spitting Contest • 5:30 PM / 3 Legged Race – 2 Players • 6:00 PM / Pie Eating
Contest • 6:30 PM / Big Foot Race – 3 Participants per team. • 7:00 PM / Cake Walk (Indoor Pavilion) • 7:30 PM / Gunny Sack Race •
8:00 PM / Water Relay Race – 6 Participants per team. • 8:30 PM / Tug~A~War
Who do you work for?
Name:
Email Address:
In the event that we have to mail tickets please tell us where we should send them:
Work address on file
Please mail tickets to my home address below
Mailing address (if applicable):
City:
State:
Zip:
Please indicate the events that you are signing up for: Basketball Tournament Volleyball Tournament Watermelon Seed Spitting Contest
Pie Eating Contest Big Foot Race Cake Walk Gunny Sack Race Water Relay Race Tug~A~War
Participant #2
Email:
Basketball Tournament Volleyball Tournament Watermelon Seed
Spitting Contest 3 Legged Race Pie Eating Contest Big Foot Race
Cake Walk Gunny Sack Race Water Relay Race Tug~A~War
Participant #4
Email:
Basketball Tournament Volleyball Tournament Watermelon Seed
Spitting Contest 3 Legged Race Pie Eating Contest Big Foot Race
Cake Walk Gunny Sack Race Water Relay Race Tug~A~War
Participant #6
Email:
Basketball Tournament Volleyball Tournament Watermelon Seed
Spitting Contest 3 Legged Race Pie Eating Contest Big Foot Race
Cake Walk Gunny Sack Race Water Relay Race Tug~A~War
3 Legged Race
Participant #3
Email:
Basketball Tournament Volleyball Tournament Watermelon Seed Spitting
Contest 3 Legged Race Pie Eating Contest Big Foot Race Cake Walk
Gunny Sack Race Water Relay Race Tug~A~War
Participant #5
Email:
Basketball Tournament Volleyball Tournament Watermelon Seed Spitting
Contest 3 Legged Race Pie Eating Contest Big Foot Race Cake Walk
Gunny Sack Race Water Relay Race Tug~A~War
Participant #7
Email:
Basketball Tournament Volleyball Tournament Watermelon Seed Spitting
Contest 3 Legged Race Pie Eating Contest Big Foot Race Cake Walk
Gunny Sack Race Water Relay Race Tug~A~War
Kauffman’s BBQ Chicken Meals can be ordered for $7.00 per meal. (Orders must be in by August 14, 2015).
Will you be ordering meals?
Yes
No
How many? _____
If you do not want to order online with a Debit/Credit Card, please call the chamber office with your card number or request an invoice.
Don’t forget – Raffle Tickets are available NOW! (GRAND PRIZE - All expense paid VACATION worth nearly $2,000.00 + many,
many more prizes drawn throughout the event!) – 50/50 Raffle will be drawn every hour – 5 BIG CASH WINNERS!!!