Down Town Dash

0

8:30 a.m.

Course Description

The 5-kilometer (3.1 mile) loop course starts and finishes at River Valley Healthy Communities Coalition, 94 River Street, Rumford. The route travels through residential areas with minimal traffic on Sunday.

Entry Fee

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$20 registration The first 50 registered will receive T-shirts. Entry fee is non-refundable.

Race Day Registration & Packet Pick Up

River Valley Healthy Communities office, 94 River Street, Rumford: Saturday, Oct. 11 from 7:15-8:15 a.m.

Race start will be at 8:30 a.m.

Parking

Parking within walking distance on the Island

OFFICIAL RACE ENTRY FORM

Enter all information below, including shirt size. Please sign waiver, which is required to participate.

Name __________________________ Age the day of the race ________ Male [ ] Female [ ]

Address____________________________City____________________ State________ ZIP________

Email address: ________________________________________________________

Team Name: ________________________________________________________

ENTRY FEE ENCLOSED: $____________

Shirt Size: [ ] S [ ] M [ ] L [ ] XL T-shirts are on a first-come, first-serve basis; if the size you selected is not available you will receive the next available size, no exceptions.

Mail entry to: River Valley Healthy Communities Coalition, PO Box 86, Rumford, ME 04276

Make checks payable to: RVCC

Email for more information: rvhccwitas@gwi.net

RACE WAIVER – PLEASE READ AND SIGN TO PARTICIPATE

I know that running in a 5K run is a potentially hazardous activity. I will not participate unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the event. I assume all risks associated with running this event, including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and conditions of the road, all such risks being known and understood by me. Having read this waiver and knowing these facts and in consideration of accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release River Valley Chamber of Commerce, sponsors, volunteers, municipalities, their representatives affiliates subsidiaries, principals agents, officers, employees and successors from all claims or liability of any kind arising out of my participation in this event or it’s related activities which I or my successors, assigns or heirs may ever have now or in the future against any of them. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. Applications for minors will be accepted only with a parent’s signature and all children participating in the 5K run/walk under the age of 12 must be accompanied by an adult for the duration of the event.

______________________________________ 

Signature of participant

______________________________________

Signature of parent/guardian of participant under 18

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