THE DEPOSIT CHAMBER OF COMMERCE TROUT RUN 5K RACE Saturday, April 28, 2018 Run begins at 10:00 am Race Day Registration 9:00 am to 9:45 am Registration fee to run: Pre-registration until April 14, 2018 $12 per person (no shirt) $18 per person (with shirt) $5 for DCS students (no shirt) $11 for DCS students (with shirt) Shirt Size S M L Registration after April 14 $20 per person (no shirt) Note: Limited quantity of shirts available first come first served with registrations. Any extras will be available for sale race day for $10 each. Make checks payable to: Deposit Chamber of Commerce Mail registration and checks to: Attn: Trout Run Registration Deposit Chamber of Commerce PO Box 222 Deposit NY 13754 With race questions, please contact Bill Morley almorley@echoes.net 607-217-9130 Awards to top three male and female finishers, and top finishers male and female in each age category (no duplicates): Ages 9 and under 10 to 14 15 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60+ Last Name:_________________________________________ First Name _____________________________________ Gender:_______ Male _______ Female Age on race day_________ DOB________________ Street Address:____________________________________________________________ E-mail Address:______________________________ City________________________________ State_________________________ Zip________________________ Waiver: I know that running a road race is potentially a 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 the risks associated with running this event including, but not limited to, falls, contact with other participants, the effects of weather, traffic, and the conditions of the roads, 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 race organizers, the Deposit Chamber of Commerce, the Village of Deposit, all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. No running strollers, animals or headsets/ear buds are allowed during this race. Signature___________________________________ Date_______________________________ Parent’s Signature___________________________________________________ Date_________________________________ (if under 18 years old) NOTE: No pets, strollers or wheeled devices allowed on the course. No device headsets or ear buds. Use of these items will result in disqualification. |