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| Mercer County Community College |
| West Windsor, NJ |
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| USTAF sanctioned event: |
The Nancy Schluter Spirit 2nd Annual 5k/Fun Run & Walk
Benefiting Trenton Area Campus Ministries
Registration/Check-in at
8:00 am
Race begins at 9:00 AM
Saturday, September 12, 2009
Mercer County Community
College
(USATF #NJ08016LMB)
Competitive Race, Fun
Run, and Walk
Entry Fee: $20 pre-registration (USATF-NJ members $18), $10 each additional family member,
$40 max. per family
$25 Race Day, $10 each additional family member, $45 max. per family
*Preregistration & T-shirt deadline: September 6. T-shirts on race day while supplies last. Prizes
awarded to top male and female overall winners and top 3 finishers in each age group in Competitive Race.
Catagories (M/F): 14 & under/ 15-19 / 20-29 / 30-39 / 40-49 / 50-59 / 60-69 / 70+
Detach completed form below and mail,along with check made out to “Trenton Area Campus Ministries,” for the
total amount to: Jim Alpaugh, 1 Olden Dtive, Flemington, NJ 08822
Email queries to: doodie@howarddesign.com
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First Name____________________________ Last Name__________________________________
Address____________________________________ City, State & Zip__________________________
Zip __________ Phone ______________________ Email __________________________________
Emergency Contact Name ___________________________ Phone ____________________________
Church Name & Town (if applicable) ______________________________________________________
Date of birth _____________ (mm/dd/yyyy) Age on race day _____ Circle Event: Comp. Race Fun Run Walk
Circle One: Male/ Female (USATF-NJ members only) USATF-NJ # ________________________
T-Shirt Size (Circle One): (Youth) S M L (Adult) S M L XL
Names and ages of other family members participating ____________________________________________
In consideration of accepting my entry in the Nancy Schluter Spirit 5K and Fun Run, I hereby release and forever discharge Trenton Area
Campus Ministries, Mercer County Community College, and any other organization, agency, or individual associated with this race,
including any members, volunteers, agency, or representative thereof, of any kind of blame and/or responsibility for any loss, damage, or
injury I may suffer as a direct or indirect result of my participation in any activity associated with or related to this event. I know that
running a race is a potentially hazardous activity. I understand that I should not enter the race unless I am medically able and have properly
trained. I attest that my physical condition and fitness are adequate for me to safely compete in this race.
Signed _____________________________________________ (Parent or Guardian, if minor) |
| Event Contact: |
Donna Munde |
| Contact Phone: |
609-799-6775 |
| E-mail Address: |
dmunde@pobox.com |
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