Results at www.results.island-timing.com Island Timing    Calendar    Results  Subscribe  Chip Return THE ELLEN GORDON CPAs 4(a): CAUSE   5K RUN/WALK Friday, June 5, 2009 7:00 PM Wantagh Park, Wantagh, NY To benefit Island Harvest PREREGISTRATION 5:30 PM RACE TIME: 7:00PM Date & Time Friday, June 05, 2009 @ 7:00 PM Address Wantagh Park, Wantagh NY Kings Road and Canal Place Fees $18 unitl May 31st, $20 after Online Registration Closing Date Friday, June 05, 2009 @ 11:59 PM Brief Description 8th Annual Event by the Nassau Chapter of the NYSSCPAs to benefit Island Harvest, Offically timed by Island Timing,Trophies for top 3 overall Male/Female and Top 3 in all 10 year age categories, All Children get ribbons, and 14 and under are Half price Full Description Raffles, Prizes, Area Restaurants and other Gift Certificates Pre registration starts at 5:30PM Directions Exit Wantagh Parkway W6W on Merrick Road, you will need to head west and make a U turn to be heading East on Merrick road, Entrance to Park is on South Side of Merrick Road just West of Wantagh Parkway Pre registration Pre registration begins at 5:30PM e-mail address Please include your e-mail address with your registration Contact information For more information please contact either Roy Massa at 631 897 7182 roymassa@yahoo.com or Ray Floch at 631 425 1800x312 RFloch@edwards-topple.com Wantagh Park, Wantagh, Parking Field #1,entrance on Merrick Road, Wantagh:directions: www.glirc.org Events Take Wantagh Parkway to exit W6W Name ________________________________________________________________________________ Age on race day _______________ Birth date / /__ Sex (M/F)_____________ Phone ( ) E-mail__________________________ Address ______________________________City___________State______Zip Code _______ WAIVER AND RELEASE I AM A RUNNER ___ I AM A WALKER___ I know that running a road race is a potentially hazardous activity. I should not enter and run 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 run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, dehydration, traffic, and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the New York State Society of Certified Public Accountants, Island Harvest, the County of Nassau and all sponsors, Race Directors, their agents, servants and volunteers, their representatives and successors from all claims of liabilities of any kind arising out of my participation in this event. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, and any other record of this event for any legitimate purpose. I acknowledge that entry fees are non-refundable for any reason and that my right to participate in this event (or a rescheduled event if this event is cancelled) is non-transferable. Roller Blades, Baby Joggers, Headphones, Animals are prohibited from participating in this race. Signed Name: _______________________________________________________________________________________________________________________ Applicant’s Signature (Parent or Legal Guardian’s if applicant is under 18) Date