The Run to Remember 5K Run/Walk Sunday June 8, 2008 ... - Panix
The Run to Remember 5K Run/Walk Sunday June 8, 2008 ... - Panix
The Run to Remember 5K Run/Walk Sunday June 8, 2008 ... - Panix
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<strong>The</strong> <strong>Run</strong> <strong>to</strong> <strong>Remember</strong> <strong>5K</strong><br />
<strong>Run</strong>/<strong>Walk</strong><br />
<strong>Sunday</strong> <strong>June</strong> 8, <strong>2008</strong> 10:00 am<br />
In Memory of GABRIELLA GAMBINO<br />
All proceeds go <strong>to</strong> the Gaby Gambino Memorial Fund – the mission of the<br />
fund is <strong>to</strong> provide educational scholarships in Gaby’s memory.<br />
AWARDS: Top Male & Female Overall & <strong>to</strong>p three in each age group<br />
Age Groups: 11- 13, 14-16, 17-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+-<br />
¼ MILE KIDS RUN – 9:30 AM<br />
Ages 10 and Under Medals <strong>to</strong> all finishers<br />
Venue – Southamp<strong>to</strong>n Cultural Center, Pond Lane Southamp<strong>to</strong>n New York<br />
Directions : From the West, Montauk Hwy turns in<strong>to</strong> Hill Street. Park is on your right just<br />
before entering the <strong>to</strong>wn of Southamp<strong>to</strong>n<br />
MORE INFO AT: www.hamp<strong>to</strong>nsrunning.com<br />
Pre Registration $20.00; (Pre registration must be post marked by 6/1/<strong>2008</strong>)<br />
Mail completed application and check payable <strong>to</strong> the Gabby Fund <strong>to</strong> 65 Fanning Ave HB NY 11946<br />
Day of Race $25.00 (Day of Race Registration at Southamp<strong>to</strong>n Cultural Center 8:00 – 9:30 AM)<br />
Fun <strong>Run</strong> $5.00<br />
I can not participate please accept my donation of $__________<br />
NAME: _______________________________________________ E MAIL: ______________________________________<br />
ADDRESS:__________________________________________________________________________________________________<br />
[] M [] F; Birth Day __/__/____ Age race day_________ <strong>Run</strong> [ ] <strong>Walk</strong> [ ]<br />
Waiver: I know that running a road race is potentially a hazardous activity. I should not enter unless I am medically able and properly<br />
trained. I assume all risks associated with this event including, but not limited <strong>to</strong> falls, contact w/ other participants, the effects of<br />
weather, including heat/ humidity, dehydration, traffic & road conditions, all such risks being known & appreciated by me. Having<br />
read this waiver & knowing these facts & in consideration of your accepting my entry, I, for myself & anyone entitled <strong>to</strong> act on my<br />
behalf, waive and release the Village of Southamp<strong>to</strong>n; all sponsors; Race Direc<strong>to</strong>rs, their agents, volunteers, their<br />
representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. I grant<br />
permission <strong>to</strong> use any pho<strong>to</strong>graphs, motion pictures, recordings, & any other record of this event for any legitimate purpose. Scooters,<br />
Heelys, skates, Headphones, Animals are prohibited from participating in this race.<br />
Signature_____________________________________ Date______________
(if under 18, signature of parent or legal guardian.)
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