ACCOLADES!€¦ · RACE HEADQUARTERS PARKING & RESTROOMS FAIRFAX UNITED CHURCH 2 River Road...
Transcript of ACCOLADES!€¦ · RACE HEADQUARTERS PARKING & RESTROOMS FAIRFAX UNITED CHURCH 2 River Road...
www.fairfaxrecreation.com/egg-run
5K Walk | 5K Run | 10K Run
Kids Fun Run 10:15AM
A fun, family-friendly event in thebeautiful town of Fairfax, VermontThis family friendly event is hosted by the
Fairfax Parks & Recreation Department and takes place alongside the beautiful Lamoille
River in the heart of our village.
Proceeds benefit the Fairfax Community Center Renovation Project, bringing families
together to work, play and grow!
SATURDAY
AUGUST 4TH9:00AM
FA
IRFA
X P
AR
KS
& R
EC
RE
AT
ION
DE
PA
RT
ME
NT
12 B
uck H
ollo
w R
oad
Fairfa
x, V
erm
on
t 05
45
4
ACCOLADES!
OUR SPONSORS
Races for theWHOLE FAMILY
RUNNER’S WOrLD • 2016
10BEST RACES TO DOWITH YOUR KIDS
ACTIVE MAGAZINE • 2014
10
Kids Fun Run Sponsor:
$20 online | $30 in person
$15 online | $25 in person
$15 online | $25 in person
$15 online | $25 in person
$50 online | $65 in person
$15 online | $25 in person
WAIVER STATEMENTI fully understand and appreciate that my participation in the above event, The Fairfax Egg Run, entails certain risks due to the challenging and strenuous nature of this physical activity. I represent to the Town of Fairfax Parks & Recreation Department that I have no current medical condition or other health limitation that would put me at risk for participating in this activity.
In consideration for my acceptance as a participant in the above event, I freely and knowingly assume all the inherent risks associated with it. I accept full responsibility for any and all injuries which may occur as result of my participation in this physical activity. I therefore release, hold harmless, waive, and covenant not to sue the Town of Fairfax, its officers, employees, and agents for the following: all claims, damages, losses, or liabilities of any kind including, but not limited to, all claims or liabilities for bodily injury or illness, theft or loss, or damage to my personal property.
In this regard, I represent to the Town of Fairfax Parks & Recreation
Department that I am 18 years or older and under no legal restrictions.
Yes, I have read and agree with the above statement:
IF REGISTERING A MINOR:In this regard, I represent to the Town of Fairfax
that I have the legal authority to act on their behalf, and that I am under no legal restrictions.
PRINT Name of Participating Minor:
Date of Birth:
Guardian’s Signature:
Date:
PRINT Name of Guardian:
REGISTRATION FORM PRICING INFORMATION
ADULT
YOUTH (12 & under)
STUDENT (13-18)
SENIOR (65+)
FAMILY (2 adults, 2 youth)
ACTIVE DUTY ARMEDFORCES/VETERANS
Registration includes our famous post-race omelets!
Please PRINT
State/Province: Zip:
Town/City:
MAIL COMPLETED REGISTRATION & REGISTRATION FEES TO:Fairfax Parks & Recreation Dept.
Attn: Egg Run12 Buck Hollow Rd., Fairfax, VT 05454
Signature
Branch
REGISTER ONLINE!www.fairfaxrecreation.com/egg-run
WANTTo SAVE
A STAMP?
One registrationper individual;
due postmarked no later thanJuly 27, 2018.
REGISTRATION & PRE-REGISTRATIONPACKET PICK UP
RACE HEADQUARTERS
PARKING & RESTROOMS
FAIRFAX UNITED CHURCH2 River Road
Fairfax, Vermont 05454
BFA FAIRFAX/COMMUNITY LIBRARY75 Hunt Street
Fairfax, Vermont 05454
Friday
AUGUST 3rd6:00PM - 7:00PM
Saturday
AUGUST 4TH7:15AM - 8:30AM
Location:
FAIRFAX uNITED CHURCH
2 River RoadFairfax, VT
FOR COURSE MAPS, ELEVATION PROFILES AND MORE INFORMATION PLEASE VISIT:
www.fairfaxrecreation.com/egg-run
T-SHIRT ORDER FORMOrder an official 2018 Egg Run t-shirt, available for $20 each.
Available in sizes XS, Small, Medium, Large, and XL.
SizeExtra Small
SmallMediumLarge
Extra Large
x $20x $20x $20x $20x $20
Qty. Subtotal
TOTAL$
$
$
$
$
$
Last Name:
First Name:
Age: Gender:
Street Address:
Phone Number:
Email Address:
Emergency Contact, Name:
Emergency Contact, Phone Number:
How did you hear about this race?
Circle Your Event Choice
5k Walk 5k Run 10k Run