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Results at www.results.island-timing.com
Island Timing Calendar Results Subscribe Chip Return
Dust off your Sneakers, Massapequa!
Sunday, June 7 th, 2009 at 9:00 AM
Unqua PTA is hosting our first ever 5K Race!
Whether you run it, walk it or crawl it … be a part of the fun!
Starting point: Unqua School, Unqua Road.
The race course will be around Unqua School and Marjorie Post Park.
1 mile "Fun Run" for the little ones starts at 9 A.M., followed by the 5K at 9:30 A.M.
There will be prizes and refreshments after the race.
Race Management by Island Timing
Thank you to all our generous sponsors from the community!
All proceeds benefit Unqua School PTA Children’s Programs
Registration Form
Name___________________________________________ Phone___________________
Address_________________________________________ Town____________________
Gender _________________ Email ___________________________________________
cipant Information Tee-Shirt Size
|
Parti
Age (As of race day) |
Fee |
Adult Youth |
|
Age 18 and over |
$ 20.00 |
Small |
n/a |
|
Ages 13 - 17 |
$ 10.00 |
Medium |
Medium |
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Ages 5 - 12 |
$ 5.00 |
Large |
Large |
|
Ages 4 and under |
Free |
X-Large |
n/a |
One form per applicant, please. Copy or download additional forms at www.Unquapta.org
Email any questions or inquiries to: Fourbastians@verizon.net
Register before May 8, 2009 – there will be NO Same Day Registration on Race Day
In consideration for accepting this entry, I, the undersigned intending to be legally bound, do hereby for myself, my heirs, my executors, my administrators, and my assigns waive and release any and all rights and claims for damages, causes of actions, costs and liabilities of any kind that I may have against the Unqua Elementary School Parent Teacher Association, Unqua Elementary School, Massapequa Public School District, sponsors, advertisers or other affiliates, their representatives, employees, agents, successors and assigns (the "Released Parties") for any and all injuries physical or otherwise, illness, personal loss or death arising out of the Unqua Family Fun Run. I attest, verify and hereby acknowledge that I am physically fit and properly trained and conditioned to participate in the Unqua Family Fun Run. If signed by a parent or guardian, parent or guardian agrees to release and hold the Released Parties harmless from any claims and rights that may be asserted on behalf of the entrant. Further, I hereby grant full permission to any and all of the foregoing to use my photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose whatsoever.
Applicant Signature (parent, if under 18) ____________________________________
** Participants check-in at Unqua School at 8:00 A.M. on race day to receive race number and T-shirt.
Please make checks payable to: UNQUA PTA
Mail Registration Form to: Rocky’s Rockin’ Fun Run/Walk
12 Iroquois Place, Massapequa, NY 11758
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