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5K Entry Form PDF

5K Entry Form PDF

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Published by Andy Stanger

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Published by: Andy Stanger on Mar 20, 2012
Copyright:Attribution Non-commercial

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03/20/2012

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 Packing Up to Pound the Pavement
April 21, 2012 At 9:00am
The First Annual Packing Up to Pound the Pavement 5K will be held on April 21, 2012. This event is put onby the Granger Volunteer Fire and EMS departments to help with the purchase of new air packs. One thing
that will make this 5K different is our Real Hero’s Relay. The Real Hero’s Relay is a 3.1 mile relay of three
firefighters with full turnout gear (No Air tank, Mask, Hood, or gloves) on. Anything that you leave thestart line with must go across the finish line with you. The first two firefighters will each run a mile with thethird running the remaining distance. There will be a baton that must be handed off to the next runner
and carried across the finish line for that team’s time
to be counted. If your department thinks it has whatit takes come and show it. The 5K (3.1 mile), and Real Hero 5K Relay (3.1 mile) courses start and finish atthe Granger Fire Station. Registration / Packet Pick-Up will be from 6:00
8:45 at the Fire Station located at1906 Main Street in Granger, Iowa. All paid adult participants will receive a
commemorative T-shirt
.Immediately following the events, snacks and refreshments will be provided and medals will be awarded.Awards: Medals will be awarded to the first, and second place finishers in each age division for male &female 5K runners. Trophies will be awarded to the first, second, and third place teams in the Real HeroRely.Additional Information: All proceeds go to the Granger Fire Department Auxiliary. For additionalinformation regarding this event please contact Greg Besch at 515-460-4142 or Granger5K@gmail.comEntry forms and race results will be available at FitnessSports.com
 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _
Detach and Mail to:
 Granger Emergency Services Aux, PO Box 133, Granger, IA 50109
Make checks payable to: Granger Fire Aux
Event
: __________
5k ($20 up to April 7 / $25 after
) ________
Real Hero Relay ($25 up to April 7
th
/ 30after)
 
Name, Last
:_________________________________________________
First:
_________________________________
Age:
____13 & under ____14-19 ____20-29 ____30-39 ____40-54 ____55 & over
Gender:
Male____ Female: ____
Address:
_________________________________________________________________________________________
City:
________________________________________________________
State:
________
Zip:
__________________
Phone:
________________________________
email:
____________________________________________________
In case of emergency, contact:________________________________________phone #_______________________
 
Event
: __________
5k ($20 up to April 7 / $25 after
) __________
Real Hero Relay ($25 up to April 7
th
/ $30after)
 
Shirt Size:
Adult S______ M______ L______ XL______ XXL______ Youth S______ M______ L______

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