Only cash and checks will be accepted.Please make any checks out to:Case Fitness & Nutrition ClubPre-registration must be receivedby June 7th!Please sign and date WAIVER on back sidThank you!
“Fitting In” Fitness & Nutrition Club
Run/Walk Registration Form
Name:_______________________________ Address: ____________________________ ____________________________ Phone: ______________________________ Age on Race Day: _____ DOB:__________ Email address: ________________________ Gender: Male Female5K Run/Walk ____$20
by Friday, June 7, 2013(please circle)
_____Free 1 mile Fun Run/WalkT-shirt $10
Pre-registration forms must be received by
guaranteed a T-shirt
Adult T-shirt size
: S M L XL
Top male/female in each age bracket for t5K Run will receive a race medal.
___ 14 and under ___ 15-25 ___ 26-3 ___ 36-45 ___ 46-55 ___ 56 +
The proceeds for this 5th annualevent will benefit theCase Fitness & Nutrition Club andthe American Brain Tumor Association!
Please send your registration formand fees by
June 7, 2013
to:Case Middle SchoolFitness & Nutrition Club1237 Washington StreetWatertown, NY 13601Registration forms can be printedfrom our school website
Pre-registration Packet Pickup
will be available on
the Case Middle School Counseling Office from 12:30pmto 4:00 pm.
will be from 7:30 amto 8:30 am at the rear lobby areaof Case Middle School.
5K Run/Walk course
at thetrack, go down to Green St. to School St.,down the driveway in front of Case andWatertown HS, around and up to the upper parking lot at Wiley School, through thenature trails up behind Wiley, and finishdown at the track.
The 5K Run/Walk will begin at
1 mile Fun Run/Walk
lapsaround the track and
.Awards presentation at 10:30 am.
There will be a 50/50 raffle at the track. Ticketsmay be purchased the day of the race.