Racetrackers Enterprises Inc is proud to present the 4th Annual Run to the Creek on October 25, 2008.
Portions of the proceeds will be donated to McCormick’s Creek State Park
Pre-Registrations ends Saturday, October 18
Pre-registration fees:
● 5k Run / $15.00 5k Walk / $15.00 Registration after October 18 and day of race - $18.00
You can also register online at www.active.com
The first 250 registered will receive a Technical Running Shirt with the Race Logo
If mailing the entry form, please make checks payable to Racetrackers Enterprises, Inc and send to:
Racetrackers Enterprises Inc. Attn: Del Backs 4405 Golf View Dr. Spencer, In. 47460
Application Do not list more than one person on an application – duplicate if necessary
Name (please print clearly) _____________________________________________________________
Birth Date _______________________ Male ○ Female ○
Age in Years (as of October 28, 2008) ________________
Address ______________________________________
City/State/Zip __________________________________
Telephone___________________ E-mail _______________________
Emergency Contact ____________________ Telephone ____________
Entrant’s Signature (please read waiver below) ________________________________________
Parent’s Signature (if under 18) _____________________________________________________
Check One ○ 5k Run / $15.00 ○ (After October 20 / $18.00)
○ 5k Walk / $15.00 ○ (After October 20 / $18.00)
Race Day Schedule
8:00 am until Race Time – Registration, Shirt and Number Pick-up Circle Shirt Size S M L XL XXL
9:30 am Run/Walk Race Begins Awards (male/female)
10:30 am Awards Presentation First Place Overall Run 1st/2nd Overall Walk
1st/2nd Place -19 and under, 20-29, 30-39, 40-49, 50-59, 60-69, 70+
Race begins at Park Swimming Pool
Waiver: I hereby do declare myself to be physically sound, having medical approval to participate in the activities of the Run to the Creek. In consideration of
permission to participate in the Run to the Creek, I hereby agree, for myself and my heirs, assigns personal representative, executors and administrators, to waive, release, and forever
discharge Racetrackers Enterprises Inc and McCormick’s State Park and it’s respective directors, officers and employees, any rights, claims or demands therefore which I may have or
which I may hereafter accrue to me arising out of injury to my person or my property incurred with connection with my use of the property, facilities or services of Racetrackers
Enterprises, Inc or McCormick’s State Park., whether such damages are caused by the negligence of the releases or otherwise.
Assumption of Risk: I hereby agree that I bear the sole risk of injury resulting from my use of the property, facilities and services of Racetrackers
Enterprises, Inc or McCormick’s State Park and hereby assume full responsibility for and risk of any bodily, death or property damage arising from such use, whether caused by the
Negligence of the releases or otherwise. USATF Sanctioned
For more information contact: Del Backs, Racetrackers Enterprises Inc. 812-876-8784
dbacks@racetrackers.com www.racetrackers.com