Rebels 5K Run/Walk
“Rebels Snapping At Your Heels Race”
Saturday, October 4, 2014
Age Division: 14 and under,15-19, 20-24, 25-29, 30-34, 35-39,40-44,45-49,50-54,55-59,60-64, 65 & up.
Entry Fees: Students $10.00 w/o a T-Shirt and $15.00 with T-Shirt
Adults and Nonstudents: $20.00 until September 19th & $25.00 after September 19th Shirts will be available to all that register by September 13th.
Race Day Info: The 5K will begin at HRMS Gym on Dogwood Road in Critz, runners will leave HRMS Gym parking lot, then proceed to out Dogwood Rd. to Santa Claus Lane until coming to the first orange sign with black arrow in sharp curve, (that is the half way mark/water stop) then runners will turn around and go back out Santa Claus Lane to Dogwood Rd. to end at HRMS gym parking lot. Registration & T-shirt pick up will begin at 7:00 AM. The race will be promptly at 8:00AM. This course is not a closed course. There will be 1 water stop at approximately mile 1.5, which will be on Santa Claus Lane at first orange sign with black arrow in sharp curve. Post race refreshments will be available. Post race awards will immediately follow the race.
Beneficiaries: This race will be held as a fundraiser for HRMS PTO. Since this is a fundraiser no goody bags will be given to participants.
Awards: Top 3 male and female overall finishers will receive unique awards. Also, the first, second and third place male and female finishers in each age group will receive an award. PLEASE CUT BELOW THE LINE AND RETURN TO HARDIN REYNOLDS MEMORIAL SCHOOL 3597 Dogwood Rd, Critz, VA 24082 Attn: Shannon Brown. Make all checks to HRMS PTO.
For further inquiries contact Wanda Whitlow at wanda.whitlow@patrick.k12.va.us or Shannon Brown @ 694-3631.
Awards: Top 3 male and female overall finishers will receive unique awards. Also, the first, second and third place male and female finishers in each age group will receive an award. PLEASE CUT BELOW THE LINE AND RETURN TO HARDIN REYNOLDS MEMORIAL SCHOOL 3597 Dogwood Rd, Critz, VA 24082 Attn: Shannon Brown. Make all checks to HRMS PTO.
For further inquiries contact Wanda Whitlow at wanda.whitlow@patrick.k12.va.us or Shannon Brown @ 694-3631.
Please print clearly.
Name:________________________________________________________________________________________
Address:______________________________________________________________________________________
Phone:___________________________________ email:_______________________________________________
Age on Race Day:________________ Male or Female (please circle) Shirt Size: AS, AM, AL, AXL
Signature (Parent or Guardian if under 18)
_______________________________________________________ Date:_________________________________
Waiver: Upon returning this entry form for the “Rebel 5K Run/Walk”, I waive, release and forever discharge any and all rights of claims for any damages against all sponsors and their affiliates as well as any persons connected with this event, individually or collectively, from all responsibilities for any injury or damage to person or any property during this event. This form will also be used as consent to use your picture to promote the fundraiser.
