Centegra
RoadRunners 5K
We Run Because We Care!
The Centegra Health System Foundation raises funds to support superior
healthcare for greater McHenry County. The Foundation provides Centegra
with financial resources by seeking the support of individuals and
corporations to bring state-of-the-art services to our community.
Funds from registration will benefit the Centegra Health System
Foundation.
1-Mile Fun Run, Kid’s Dash, & Pool Party
Centegra Health System strives to make a difference in people’s lives. In
keeping with our commitment to serving all members of the community,
charity care is considered when the need and/or individual’s inability to
pay exists. Last year, Centegra donated over $84,000,000 in Community
Benefits and donations. Your donation will help us make a difference in
patient’s lives!
Sunday, June 23, 2013
10450 Algonquin Rd. | Huntley, IL 60142
Collect Pledges
Encourage family and friends to show their support by making pledges.
All pledges must be turned in the day of the event.
Volunteers Needed
Be a part of the excitement by volunteering! We need the efforts of many
to put on the race including course marshals, water station attendants,
and finish line workers. For more information, please call Kathy Kozak, Race
Director, at (847) 802-7010 or email [email protected].
This race has applied for and received the Chicago Area Runners
Association designation as a CARA CERTIFIED RACE.
This race has agreed to adhere to and uphold
CARA’s Best Practices Guidelines. These Guidelines
embody the highest standards for quality, safety
and comfort for participants in a road race.
The Chicago Area Runners Association (CARA) is a non-profit organization
devoted to expanding, motivating, supporting and celebrating the
running community of Chicagoland. CARA connects runners to resources
that enable them to run – farther, faster, better, for life.
WELL BEYOND EXPECTATION
SM
Due to CARA’s advocacy efforts, runners in the Chicagoland area enjoy
some of the highest quality road races in the country. To view the
Guidelines and to learn more about CARA, visit www.cararuns.org.
10450 Algonquin Rd. | Huntley, IL 60142
(815) 444-2900 | healthbridgefitness.com
A CARA Certified Race
Presenting Sponsor:
Welcome to the 13th Annual
Centegra RoadRunner’s 5K!
Sunday, June 23, 2013
Important Dates and Times:
• Early Bird Registration [March 1 - June 20, 2013]
• Mail to or register in person at either one of the
Centegra Health Bridge Fitness Center Facilities:
200 Congress Parkway, Crystal Lake, IL 60014
10450 Algonquin Road, Huntley, IL 60142
• You may also register at signmeup.com/91099
• The first 300 Registrants will receive a FREE Race Shirt!
Packet Pick-Up:
• Saturday, June 22, 2013
9:00am - 12:00pm
Centegra Health Bridge Fitness Center
10450 Algonquin Rd. Huntley, IL 60142
Food Pantry Donations will be accepted at Packet Pick
Up and on Race Day.
Race Day [Sunday, June 23, 2013]:
Packet Pick Up
6 - 7:00am
1-Mile Fun Run
7:00am
5K7:30am
Kids Dash8:30am
Post-Race Pool Party
8 - 10:00am
Bicycles, in-line skates, roller skates, strollers, other wheeled vehicles [except wheelchairs], and
dogs are not allowed on the course. Please submit a separate application form for each entrant.
Photocopied forms acceptable. Unsigned entries will be returned.
Directions:
Take I-90 west and exit at Route 47. Travel north to
Algonquin Road and turn right. Go east and turn left on
Haligus. Take your first right into the Centegra Health
Campus. Centegra Health Bridge Fitness Center is located
on your right. Parking is available on-site.
Results:
Race results will be posted on healthbridgefitness.com and
cararuns.org.
Awards:
Awards will be given to all first, second, and third place
winners in each age division.
5K Age Group Divisions
10 and Under
11-14 Years
15-19 Years
20-24 Years
25-29 Years
30-34 Years
35-39 Years
40-44 Years
45-49 Years
50-54 Years
55-59 Years
60-64 Years
65-69 Years
70 and Over
Race Day Registration:
You may register on race day and pay via cash or check.
Post-Race Party:
Join us for a post-race celebration! Enjoy food, fun,
swimming and refreshments from local vendors. The
post-race party will be held at the outdoor pool.
Presenting Sponsor:
To register, call (815) 444-2900, visit signmeup.com/91099, or stop into Centegra Health Bridge Fitness Center.
Registration Form
[BIB # ______]
A separate application is required for each participant.
CHECK ONE:  5K  1-Mile  Kid’s Dash
Name: ______________________________________
Address: ____________________________________
City: _______________________________________
State: _________________ Zip: _________________
Phone: _____________________________________
Email: ______________________________________
 Male
 Female Birth Date:____ Age on June 23:_____
Race Fees [NO REFUNDS]
 [5K] Pre-registered before 6/20 ...................................... $30
 [5K] 6/20 until Race Day ................................................. $35
 [1 Mile] Pre-registered before 6/20 ................................ $20
 [1 Mile] 6/20 until Race Day ........................................... $25
 [Kids Dash] Pre-registered before 6/20 .......................... $5
 [Kids Dash] 6/20 until Race Day ..................................... $7
Total: ______
Method of Payment:
 Cash/Check  Mastercard  Visa  Discover
Credit Card #:__________________________________
Exp. Date:____________________________________
Check #:_________ [payable to Health Bridge]
Signature:___________________________________
WAIVER AND RELEASE OF LIABILITY: On behalf of myself or the minor
participant I am the parent or guardian of, I acknowledge that participation in
this Centegra Health Bridge Fitness Center (CHBFC) event could be dangerous
and cause injury, including death, and is undertaken at the participant’s own
risk. On behalf of myself, or the minor participant I am the parent or guardian
of, and my/our heirs, executors, and assigns, I fully waive, release and forever
discharge Centegra Health Bridge Corporation, Centegra Health Bridge
Fitness Center, LLC, and their respective affiliates, parents, subsidiaries, officers,
directors, employees, agents, successors and assigns from any and all claims,
damages, demands, and causes of action, known or unknown, anticipated
or unanticipated, arising out of or relating to participation in this CHFBC
event. My signature below verifies that I have read, understand and agreed
to this waiver and release of any and all liability. PHOTOGRAPHS: I hereby
consent to the use of photographs, video and audio recordings of myself for
promotional, informational or educational use, including without limitation
publication, and waive any all claims arising from or relating to the use of such
images or recordings, including without limitation, payment,royalties, or other
remunerations I may have in connection with such use.
Signature:______________________ Date:_________
Parent/Guardian Signature [if athlete is under 18 years]:
__________________________________________