Register Online at Active.com
The Hudsy 5K Run/Walk and Fun Run (for kids)
Honoring Joan Hudson
Sponsored by Quogue School Heart Links Project
Saturday, October 3, 2009
Proceeds fund heart healthy activities at the Quogue Elementary School
Location: Quogue Elementary School
Edgewood Road
Quogue
Race Start: 5k @ 9:00 am – Registration closes at 8:45 am
1 mile kids Fun Run to follow 5K
Registration: 5k Run/Walk : $20.00 pre-registration for adults 18 and over
$10.00 pre-registration for kids 17 and under
$25.00 day of race registration for everyone
Kids’ Fun Run : Free
Awards: Top Male and Female Overall Awards
Top 3 males and females in the following groups:
14- under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69,
70-79, 80+
T-shirts for first 150 registered race participants
Course: Race starts and finishes at the Quogue Elementary School
Rain or shine
Mail Entries to: Make checks
payable to: Quogue UFSD Heart Links
The Quogue Elementary School
5K Heart Links Walk/Run
PO Box 957
Quogue, NY 11959
Did you participate in the Koziarz 5K race in July ? ( ) Yes ( ) No
NAME: _____________________________________________ ( ) M ( ) F
AGE (on race day)__________ BIRTHDATE_______________
PHONE:____________________
ADDRESS:________________________________CITY__________ STATE_____ZIP________
Waiver: 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 you accepting my
entry, I, for myself and anyone entitled to act on my behalf, waive and
release the Village of Quogue; The Quogue Heart Links Project, the Quogue
Elementary School, the East End Road and Trail Runners Club and Fit Inc.,
all sponsors, underwriters, Race directors, their agents, servants and
volunteers, their representatives and successors from all claims or
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.
Roller blades AND animals are prohibited from participating in this race.
Signature________________________________________
(Under 18 parent or legal guardian signature)