Sprint to Flint FRIDAY, JUNE 16th 6:30pm 1M 7:15pm 5K Pre-registration Advised •! Pre-registration online discount! •! Register online by accessing Race link at villageoflarchmont.org. •! Or, Mail in the form below or drop at Village Clerk’s office in Village Hall with your check payable to “Village of Larchmont” by June 9th. •! Late registration and bib number / t-shirt pick-up at Flint Park Playhouse: Thursday, June 15th 7-8pm AND Race day, Friday, June 16th from 4:30-6:00pm •! Registration will close if race reaches capacity. T-shirts guaranteed to first 500 pre-registrants. T-shirts not guaranteed to registrants after June 9th. No refunds or rain date for event. Entry Fees: Save money by registering early & online! Pre-registration Online: $30.00 per adult $18.50 per youth Paper Form (by mail –by June 9th) $35.00 per adult $20.00 per youth th th June 10 – 14 (Online only) $35.00 per adult $23.50 per youth Late Registration (June 15&16) $40.00 per adult $25.00 per youth (youth fees apply to ages 18 and under) Great Family Event for Runners of All Ages!! Pizza and Music for Participants to Follow in Flint Park! LARCHMONT RUN 2017 ENTRY FORM Mail form and check payable to Village of Larchmont Run 2017, Village Hall, 120 Larchmont Ave., Larchmont, NY 10538 NAME: __________________________________________________________ (please complete one form per entry) ADDRESS: __________________________________________________________ PHONE:_____________________ EMAIL: __________________________________________________________________________________________ AGE: ______ SEX: ______ Registration fee: ___________ CIRCLE EVENT: 5K RUN 1 MILE RUN cash or check number ___________ CIRCLE T-SHIRT SIZE (Y=Youth, A= Adult): YS YM YL AS AM AL AXL “In consideration of the acceptance of my participation in this event, I do hereby release and discharge for myself, my heirs, executors, assigns and administrators, the Village of Larchmont, Board of Trustees, all of the employees and officers of the Village, and all volunteers associated with this event from any claims or liabilities of any sort whatsoever that may arise from any injury, illness, or damage I may suffer in connection with or as a result of my participation in this event.” (Parent/Guardian signature is required SIGNATURE: ___________________________________________________ if entrant is under 18 years of age) THANKS TO OUR SPONSORS GOLD ACURA OF WESTCHESTER CORNERSTONE OF LARCHMONT DR. GARRETT WESTON, LARCHMONT ORTHODONTICS LARCHMONT MAMARONECK YOUTH LACROSSE LARCHMONT SOCCER CLUB LUSARDI’S / CHAT 19 THE NEW JEWISH HOME, SARAH NEUMAN THE ROSENBLUM TEAM AT JULIABFEE SIR STOP & SHOP SILVER ADDISON STREET SPA, ANDORALAWNCARE.COM, BURKE’S MAMARONECK OUTPATIENT CLINIC, FOLEY’S TRUE VALUE HARDWARE, THE ICE CREAM PARLOUR, MCMILLAN CONSTABILE FOSTER & PERONE, LLP, LA RISERVA & TRATTORIA VIVOLO, LARCHMONT MUSIC ACADEMY, MDXPRESS URGENT CARE NEXT LEVEL CAMP FOR BOYS & NEXT LEVEL CAMP FOR GIRLS, POST WINE & SPIRITS, PUSH FITNESS – MAMARONECK, ONE2ONE BODYSCAPES PERSONAL TRAINING STUDIO, SCHOOL OF ROCK MAMARONECK, VILLA MARIA PIZZA
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