Save the Drama for Your Mama 5k
run/walk
WHAT 5k run/walk (3.1 miles) to celebrate National Music Week 2012 & support the RCS Drama Club WHEN Saturday May 12, 2012 Race starts at 10 AM WHERE Race begins at Weeden Road Park in Randolph, NY & continues around the loop to end just about where you started! WHY The RCS Drama Club program is growing & is making big plans for the future. Next Spring the club plans to go to NYC to explore the city! PRE-­‐REGISTRATION To pre-­‐register, your registration form needs to be received by May 5, 2012, along with your check $10 Students $15 Adults Checks can be made payable to: RCS Drama Club Mail checks & registration form to: RCS Drama Club Attn: Peter Dauphin 18 Main Street Randolph, NY 14772 Free t-­‐shirts to the first 50 pre-­‐
registered participants RACE DAY Entry Fees on race day are increased $5 $15 Students $20 Adults *Note T-­‐shirts are only guaranteed for pre-­‐registrations RACE DAY INFORMATION Registration time: 9 AM at Weeden Road Pavilion Race begins at 10 AM There will be hotdogs, fruit, snacks & plenty of water after the race for all the participants and their supporting family members or friends! AWARDS Awards will be handed out to the 3 overall winners after the race as soon as everyone has finished! Awards will be presented under the pavilion. OUR SPONSERS Just Fur Fun Van Rensselaer & Sons Funeral Home Metallic Ladder Randolph Auto Register Graphics 2012 Registration Form
Walk Run Name:___________________________Age:__________________ M / F Address:______________________________________________________________ City:_____________________________State:__________Zip Code:___________ Email:_________________________________________________________________ Phone Number:______________________________________________________ Emergency Contact:_______________________Phone:__________________ T-­‐Shirt Size: S M L XL Please make checks payable to RCS Drama Club Send checks & registration form to: RCS Drama Club Attn: Peter Dauphin 18 Main Street Randolph, NY 14772 In consideration of signing this application I hereby release all claims for damage or
injury against the Randolph Central School District, Town of Randolph, New York
State, the race committee and its volunteers. I understand that running is a
potentially hazardous activity and certify that I am physically fit, properly trained
and medically able to participate.
Signature: ________________________________
Date:____________
Parents Signature:__________________________
(if participant is under the age of 18)
Date:___________