your fitness 5 registration form here

Brought to you by
Scenic traffic free course
Late Registrations will be accepted from
7:00am till 8:00am on Sunday 2nd April 2017.
Greater Bank Fitness 5
5km Fun Run & Walk
Peoplecare Kerryn
McCann 10
10 km Fun Run & Walk
Sunday 2nd April, 2017
Race Starts 8:30am
Start & Finish: Lower Crown Street, adjacent to The Illawarra Brewery at the WEC
For more information, online
registration and race results check out
our website at www.fitness5.com.au
Greater Bank Fitness 5 will support
the West Dapto Cross-Country
Park Development Fund.
Numbers and Timing Chips will be issued to all
entrants from 7:00am till 8:00am by Greater
Bank Fitness 5 Volunteers
Drink Stations will be located at North
Wollongong Beach and at the Start/Finish
Presentation of prizes will commence at
10:00am
Team Entries (only for 5km) limited to a
minimum 3 persons per team
The Peoplecare Kerryn
McCann 10 will support the
McGrath Foundation.
HEAPS OF PRIZES TO BE WON
5km Male Record: 14.21
(Youcef Abdi, 2005)
10km Female Record:
43:33 (Lisa Gorringe 43:33, 2016)
Rd
extension from
Greater Bank Fitness 5
Way
Greater
Bank
Fitness 5
Puckey Ave
Innovation
Campus
Puckeys
Estate
5km Female Record:
15.49 (Kerryn McCann, 2005)
10km Male Record: 35.11
(Jeff Chaseling, 2016)
Elliots
Peoplecare
Kerryn McCann 10
Squires
Open Category Prizes, 5km & 10km:
1st Place: $300
2nd Place:
$200
3rd Place:
$100
Start and Finish
LOWER CROWN STREET
Pa
Crera
ek
Adjacent to the Illawarra Brewery
Stuart Park
Individual category prizes for the
Greater Bank Fitness 5.
Plenty of free parking is available in the Council car park located on Stewart Street and surrounding streets.
Street parking is free on weekends.
Enquiries: Dave Higgins, Telephone 0412 641 317 or Neil Barnett 0419 256 047
North
Wollongong
Beach
Greater Bank Fitness 5 and Peoplecare Kerryn
McCann 10 Official Entry Form
Greater Bank
Fitness 5
Peoplecare Kerryn McCann 10
Pre-Race Date Entry Fee: $30
Late Entry Fee: $35
Family: $80
(2 adults & dependent children living under the same roof)
Late Family Entry Fee: Pre-Race Date Entry Fee: $45
Late Entry Fee: $50
Cheques to: Kembla Joggers Post: PO Box 527 Dapto NSW 2530
$90
INDIVIDUAL ENTRY
I am participating in  Greater Bank Fitness 5 or  Peoplecare Kerryn McCann 10 As a  Runner/Walker or  Wheelchair
Categories: Run/Walk Under 12, Run/Walk 12-14 Years, Run/Walk 15-17 Years, Run/Walk 18-29 Years, Run/Walk 30-39 Years, Run/Walk 40-49 Years, Run/Walk 50-59
Years, Run/Walk 60-69 Years, Run/Walk 70 Plus Years and Wheelchair.
TEAM ENTRY
TEAM ENTRIES MUST BE SUBMITTED TOGETHER. NO TEAM ENTRIES FOR PEOPLECARE KERRYN MCCANN 10
Minimum 3 persons per team (no additional charge)
 Open Female
 Open Male
Tick one only
 Family
 Corporate
 Outdoor Fitness
 Mixed
Pre-Race Day Entries Close
11:59pm Friday 31st March 2017
Please submit all team member’s entries in the same envelope.
NO TEAM ENTRIES ON THE DAY OR FOR THE KERRYN MCCANN 10
* Fields are required or no results published.
*
*
*
*
*
*
*
*
I, the undersigned, in consideration of and as a condition of acceptance of my entry in the Greater Bank Fitness 5 or Peoplecare Kerryn McCann 10 Fun Run, for
myself, my heirs, executors and administrators, hereby waive all and any claim, sight or cause of action which I or they might otherwise have for or arising out of
loss of my life or injury, damage or loss of any description whatsoever which I may suffer or sustain in the course of or consequent upon my entry or participation
in the said events.
This waiver, release and discharge shall be and operate separately in favour of all persons, corporations and bodies involved or otherwise engaged in promoting or
staging the events and the servants, agents, representatives and officers of any of them and includes but is not limited to medical and paramedical practitioners
and personnel, police officers and shall so operate whether or not the loss or damage is attributable to the act or neglect or any one or more of them.
I will abide by the competition rules.
I will run on the approved course as directed, will not accept assistance and will accept the judges decision as final.
The organisers deserves the right to reject or cancel any fun run entry at any time.
I acknowledge I will not be awarded a place unless I wear an official competitor’s chest number on my chest and the entire number and colour strip is visible
throughout the fun run.
I will run on the left hand side of the road running with traffic unless otherwise directed by Police or Fun Run Marshals.
Supporters must not follow competitors; the only vehicles allowed to follow the race being Police and official cars.
The Fun Run Committee reserves the right to alter without notice any of the rules and conditions which govern the events.
I have read and understood the above Conditions of Entry and agree to abide by the rules and conditions which govern the events.
Signed by the Entrant: ................................................................................................................................ Date: ..................................................................
If you are 18 or under, this part MUST be signed by your parent or guardian:
I certify that I am the parent of guardian of the Entrant who is .............. years of age and has my consent to run in this fun run and I agree that my son/daughter and I will
be bound by the above Conditions of Entry.
Signed by the Parents or Guardian: .............................................................................................................................................. Date: .............................................................................