This event promotes outdoor recreation for people of all levels of physical abilities. Wheelchair and hand crank bike racers are
welcome. Net proceeds will benefit Vidant Health Rehabilitation Services, where we are committed to helping adults and children
reclaim their lives.
RACE INFORMATION
COURSES
The 5K course is USATF certified. Both 5K and 1 mile races start on 6th Street in front of St. James United Methodist Church.
The course is flat and winds through the East Carolina University area. Chip timing provided by East Carolina Road Racing.
ENTRY FEES
5K – Early bird fee is $25 if received by September 16; $30 on race day. 5K registrants whose registration forms are received prior to
September 16 will receive a Tech shirt. Group discount of $5 per person for teams of 5 or more. Must register by mail or on race day
to receive discount. Not available through online registration; 1 mile – $10 (Does not include tech shirt.)
TEAMS
Team competition is encouraged for the 5K event. A team consists of at least three entrants, maximum of 10. Each participant
must complete a registration form and sign waiver.
Run, Walk
and Roll
Vidant Health
Rehabilitation Services
6th Annual 5K & 1 Mile
Fun Run & Walk
September 21 | 8:30 a.m.
Registration 7:15-8:15 a.m.
St. James United Methodist Church
2000 East 6th St., Greenville, NC
AWARDS
All finishers receive a medal, their time and placing.
5K – Top three male and female overall and top three male and female in each 5K age group: 12 and under, 13-15, 16-19, 20-29,
30-39, 40-49, 50-59, 60-69, 70+. Wheelchair and hand crank bike top finishers.
1 Mile – Top male and female overall, top wheelchair racer and top hand crank bike racer
Teams – Top team finishers in 5K
Inclement Weather updates: Call 252-847-0207 or check Facebook: “Run, Walk & Roll Annual Road Race Events.”
REGISTER
Registration is available online at www.active.com or at www.ecrr.us, by mail postmarked by Sept. 10th, or in person on the
morning of the race.
FOR MORE INFORMATION
252-847-4400, Rehabilitation Center | Online at www.VidantHealth.com/rehab or www.ecrr.us | Like us on Facebook: Search “Run,
Walk & Roll” Annual Road Race Events.
Charitable contribution allowance for 5K entry fee is $13 per registrant. Charitable allowance for 1 mile entry fee is $10 per
registrant. For more information call 252-847-5626.
Make checks payable to: Vidant Medical Center Foundation
Mail registration form to: Vidant Medical Center
Attn: Rehab Administration, PO Box 6028, Greenville, NC 27835
FIRST NAME _______________________________________________LAST NAME_______________________________________________________________
BIRTH DATE _____/_____/________AGE ON SEPT 21 _____ SEX________
STREET _________________________________________________________ CITY ____________________________________ STATE ______ ZIP ___________
HOME PHONE _____________________ MOBILE PHONE _____________________EMAIL ADDRESS _________________________________________________
BIB# _________ (For Office Use Only)
TEAM NAME: ___________________________________TEAM CAPTAIN: _______________________________________
T-shirt received __________
 5K Run/Walk  1 Mile Fun Run & Walk
Wheelchair:  5K  1 mile
Hand crank bike:  5K  1 mile
TECH SHIRT SIZE (check):  XS  S  M  L  XL  XXL Additional tech shirts available for $18  XS  S  M  L  XL  XXL
I have enclosed $ ___________ for my entry, plus an additional $ ___________ for a donation or $ ___________ for T-shirt (s) for total enclosed amount of $____________
payable by  Check (# _____________)  Cash
WAIVER: Must read and sign to participate (Portable music players are discouraged. Roller blades, skates/skate boards and animals are not allowed in the event.)
ADULTS
I realize that running a road race can be a hazardous activity, which could cause injury or death. I certify that I am medically able to participate in this event, and am in good health, and
I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my
participation for any reason whatsoever. I assume all risks associated with running this event including, but not limited to: falls, contact with participants, the effect of weather, traffic
and the condition of street and sidewalk, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and inconsideration of your accepting my
entry, I do voluntarily waive and release Vidant Health, Vidant Health Rehabilitation Services, Vidant Medical Center, Pitt County Memorial Hospital, Incorprated, University Healty Systems
of Eastern Carolina, Inc., each of the event sponsors, each of the participants, all race personnel, USTAF, ECRR, each of their successors, assigns, affiliates; each of their directors, officers,
agents and employees from any liability for any and all claims or causes of action I, my heirs or assigns might now or hereafter have for injury, loss, damages or death arising out of or as a
consequence of or incident to my involvement or participation in this event, or as a result of the ordinary negligence of any party. I give my permission for any photos, video or any other
recordings, which contain me to be used for promotional purposes. I agree to obey all law enforcement officers at all times.
_____________________________________________________________
SIGNED DATE
MINORS
I am the parent or legal guardian of___________________________________________(the Child Participant), and hereby authorize him/her to participate in the “Run, Walk, and Roll for
Rehab” road race. I realize that running can be a hazardous activity, which can cause injury or death. I, as the parent or legal guardian of the Child Participant, do voluntarily waive and
release Vidant Health, Vidant Health Rehabilitation Services, Vidant Medical Center, Pitt County Memorial Hospital, Incorprated, University Healty Systems of Eastern Carolina, Inc., each of
the event sponsors, USTAF, ECRR, each of the participants, all race personnel, each of their successors, assigns, affiliates; each of their directors, officers, agents and employees from any
liability for any and all claims or causes of action I, my heirs or assigns might now or hereafter have or that the Child Participant may have or his or her heirs or assigns might now or hereafter
have, for injury, loss, damages or death arising out of or as a consequence of or incident to my involvement or participation in this event, or as a result of the ordinary negligence of any
party. On behalf of the Child Participant, I give permission for any photos, video, or any other recordings, which contain the Child Participant, to be used for promotional purposes. I attest
that the Child Participant is healthy and fit enough to safely participate in the event and that I will take full responsibility for the safety of the Child Participant before, after, and during the
event. I agree to obey all law enforcement officers at all times.
_____________________________________________________________
SIGNED DATE _____________________________________________________________
PARENT OR LEGAL GUARDIAN OF THE CHILD PARTICIPANT DATE
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