31st Annual Independence 10K Race and 1 Mile Fun Run
Shawnee High School
Saturday, June 28th, 8:30 AM
to benefit the Precious Gems Memorial
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Click here for an application suitable for printing, or print this page and mail the bottom portion with your payment to the address below.
Where?: Shawnee High School, 600 Tabernacle Road, Medford, NJ
How do I get there? Directions to Shawnee High School School
Registration: Will start at 7:00AM sharp in the parking lot
The Course: New 10K measured course on paved roads. For a look, click here.
Awards/Results: 3 deep male & female; 14 & under, 15-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70 Plus. Official results will be posted on the Pineland Striders Web Page
Start Times: 10K - 8:30AM, 1 Mile - 8:35AM, Lollipop Dash - after the 1 Mile
Amenities: All registered runners will receive a race t-shirt. Refreshments following the race, water stops on course
Entry Fees: 10K: $15 until June 20th, after June 20th and Race Day, $20; 1-Mile: $10
______________________________________________________________________________________________________________
Mail to: The Pineland Striders, 51 Cutchogue Trail, Medford Lakes, NJ 08055
Last Name:___________________________________First_____________________________________
Age___________Sex___________Choose One: 10K_____ 1 Mile______
Street_______________________________________City___________________Zip_________________
Waiver: I understand that running is potentially hazardous and I should not enter and run unless properly trained. I assume all risks associated with running this race including but not limited to inclement weather, traffic, and road and turf conditions. I release all persons and organizations from any injury I may suffer as a result of my entry into this race. I, myself and anyone entitled to act on my behalf, waive and release the race organizers, sponsors and their representatives, the Pineland Striders Running Club, Lenape School District, Shawnee High School, Medford and Medford Lakes Townships, the Precious Gems Memorial Inc, event volunteers and any and all other persons and successors associated in any way with this event from any and all claims of any kind arising from my entry in this event. I attest that I am physically fit and sufficiently trained for completion of this event. By signing below I attest that I have read and understand this waiver.
Signature_________________________________________________Date_____________________
Parent, if under 18__________________________________________Date_____________________