St. Jude Children's Research Hospital 5k RiverRace

Jude Children’s Research Hospital! Call or email Jim Highland for application forms or to make a donation:
724-372-9598
jhighland@northwood.com

Course: Greenwood Drive Bike Trail in Grove City, PA
Start will be on Greenwood Drive, Park @ High School Football Field Parking lot

Age Groups: 11 & under, 12-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
General: Event is open to runners and walkers. Digital clock display and timing services by THE RUNNER’S HIGH. Results will be posted on the internet at: http://www.runhigh.com

Entry Fees: $10.00/person (13.00 on race day) Base entry includes refreshments, results, and race entry. INFO: James Highland (724) 372-9598
Email: jhighland@northwood.com
Entry Information:
Name:
Address:
City:
State:
Zip:
Phone #:
Email:
RaceDay age: Gender:

T-Shirts for Race /$12.00 each (Please order shirts by June 14th to ensure availability):
Adult: S M L XL XXL # # Youth: S M L
(Indicate quantities if more than one)
SEND TO: James Highland, 1460 Carrie Way, Apt. 23, Grove City, PA 16127
or email to: jhighland@northwood.com
(Make checks payable to “James Highland”)
Total Enclosed:______________
Waiver: In consideration of the acceptance of this entry I waive myself, my heirs, and assigns, all claims for damage which I might have against the race, the sponsors or any other organization, business or individual as a result of any and all injuries which might be received during the contest. Signature:________________________________
Signature of parent if participant is under age 18: ______________________________________