Run 4 the Pies - Registration

THANKSGIVING DAY, NOVEMBER 22ND 2012
RACE STARTS AT 8:00AM, KIDS AT 7:45AM
12th annual 4 mile race begins and ends at
the Village of Tequesta Parks & Recreation (399 Seabrook Rd.)
Run 4 the Pies
12th Annual
Thanksgiving Day
Presented by
• NEW THIS YEAR, Finisher Medal.
• First 900 finishers receive a fresh baked Publix apple pie!
• Guaranteed short sleeved Tech Shirt to the first 1,100 registrations!
• Chip timing (net).
FOOD! MUSIC!
KID’S PLAYGROUND!
ENTRY FEES
Select Race:
Adult
Palm Beach Roadrunner Club Member
Students (18 & under)
Senior Sneakers (65 & older)
Tequesta Residents
Kid’s 100 Yard Dash (ages 8 & under)
BEFORE
NOV 19
$35
$30
$30
$30
$30
$10
NOV 19 - 22
$40
$40
$40
$40
$40
$10
RACE DAY REGISTRATION - $40.00 FOR EVERYONE
(Except Kid’s 100 yard dash which will be $10)
For your convenience, there will be a packet pick up (chip, bib number & shirts on Wednesday, Nov. 21th from 2 - 8:00PM at
GOOD SHEPHARD CHURCH, 402 SEABROOK RD., TEQUESTA, FLORIDA. Race Day registration & packet pick up begins at 6AM.
Name:___________________________________________________________ Sex: Male _______ Female _______
Address: _______________________________________________ City: _____________ State: _____ Zip: _______
Age on Race Day : _______ Date of Birth: ___/___/___ Make Checks payable to: Palm Beach Roadrunners
Mail to: PBMT, PO Box 7086, West Palm Beach, FL 33405
Phone: __________________________________ Email: ________________________________________________
Shirt Size: X-Small _______ Small _______ Medium _______ Large _______ X-Large _______ XX-Large _______
Shirts guaranteed to first 1,100 registrants
FOOD FOR FAMILIES DRIVE: PLEASE BRING A NON-PERISHABLE FOOD ITEM!
Register Online Today at: www.PalmBeachRoadRunners.com
Waiver: In consideration of my participation in the Race 4 the Pies, I hereby for myself, my heirs, and personal representatives assume any and all risks
which might be associated with the event, and I further waive, release, discharge and covenant not to sue the Village of Tequesta and Palm Beach
Roadrunners, Accuchip USA, Inc., organizers or other representatives, or successors and assigns, for any injuries or damages of any kind whatsoever as
a result in taking part in the events and related activities.
I ACKNOWLEDGE THAT MY ENTRY FEE IS NON-REFUNDABLE, INCLUDING IF THE RACE IS CANCELLED, AND MY ENTRY IS NON-TRANSFERABLE.
Participant Signature: _____________________________________________________ Date: __________________
(or Parent if under 18)
: Chip # _________________________ circle one: