LCCC Santarelli Memorial 5K Race

Santarelli Memorial 5K

Cross Country Race

At Lorain County Community College

Sunday, Aug 13, 2017 6:00 P.M.	Sponsored by Italian American Veterans Post #1
OPEN TO THE PUBLIC…GET OFF THE ROAD AND RUN FAST ON THE GRASS!	EXPERIENCE CROSS COUNTRY!!!

    Registration     Fee                                  Make check or MO to Peace Racing

     $20.00 w/T-shirt  while they last             Mail to:  LCCC H.P.E.R. Programs

    $25 race day registration                       Attention: Jim Powers

                                                                                   1005 North Abbe Road

                                                                      Elyria Ohio 44035

1 MILE FUN RUN FREE TO ALL RUNNERS, COACHES, CHILDREN, PARENTS & JOGGERS!

STARTING TIME AT 5:30PM AT THE SOUTHWEST AREA OF THE TENNIS COURTS.

40th YEAR!!   Now Part of the Peace Racing XC Series 40th YEAR!!

Age Divisions

12 and under, 13-15, 16-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65 and over

                     Awards                                  

Trophies to top 5 Male & top 5 Female & age group winners. Medals to 2nd-3rd place in each age group & ribbons to finishers 2-20 in Male & Female 13-15 age group. Awards ceremony will be conducted in the Gym.

REGISTER ONLINE AT

www.peaceracing.com or www.lorainccc.edu

FOR REGISTRATION INFORMATION PLEASE CONTACT JIM POWERS AT LCCC

440-366-7652

jpowers@lorainccc.edu

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Santarelli Memorial 5K Cross Country Race Entry Form (Pre-registration due by Aug 12)

Name  _______________________________________________________   Sex  ______  Phone  _________________

Address  _________________________________________        City  _________________       State  _______     Zip  _________

Email      _________________________________________

Age as of Aug 13  ____       T-Shirt size:  Small_____           Med______          Lrg.______           X-Lrg.______              

Waiver (application will be rejected if not signed)

In consideration of acceptance of this entry, I, for myself and my heirs, personal representatives, successors, and assigns, release the LCCC HPER Pogram, Peace Racing & their representatives from any & all claims and rights of action of any kind for personal injury, property damage or other loss which I may incur as a result of my participation in the Santarelli Memorial Race.  In the event that the participant named herein is a minor, the person signing does hereby certify that he or she is the parent or legal custodian of said minor & signs this Waiver on behalf of said minor.

CHECK OUT THE OTHER RACES IN THE PEACE RACING XC SERIES THIS SUMMER

     Signature                                                                                                    Date

Office use only:     Regis. #  _____     Date Rec'd.  ______     Rec'd. By  ____      Amt. Rec'd  _________    a:RACES/sntrlli/flr99