4th Annual family friendly 5K race &

WHEN: SATURDAY, OCTOBER 13, 2012 WHERE: NEWBROOK ELEMENTARY SCHOOL 14 School St, Newfane, VT (off Rt. 30) REGISTRATION: 8:30-9:30am Fun Run (5 & under): 9:45am 5K (3.1mile): 10am
(Kids 13 & under must be accompanied by an adult.) Make check payable to: NewBrook PTO Mail to:

fitness walk to raise funds for classroom enrichment.

Kids Run FREE! 13 & under

Great Prizes!!! For top 3 males and females in each age category: under 7, 8-12, 13-16, 17-39, 40-55, over 56 - Free T-shirts to all kids - Free cloth shopping bags to the first 100 to register - Medals for all Chidren - Post-Run Refreshments - Water stop on course - Free massages after race - School restrooms available - Playground on premises - Please no dogs

For more info. visit the NewBrook Facebook Page or contact: info@collegiatevideo.com INDIVIDUAL (FEE $15) Name Age

Fit & Fun 5k Registration Box 376, Newfane, VT 05345 Pre-registration deadline: Sept. 20th

FAMILY (FEE $25)

Gender Shirt size (13&under)

Children under 13 must be listed below as well with T-shirt size.

Fun Run or 5K

Address: _____________________________City______________State________Zip___________ Email:______________________________________Phone_______________________________

I hereby certify that I am adequately fit to run in this race. In consideration of the acceptance of this entry, I, the undersigned, for myself, my personal representative, beneficiaries, and heirs, knowingly waive, release, and discharge any and all rights and claims which I have or may have hereafter accrue to me or my estate against the NewBrook Elementary School and/or any other sponsors, organizers and volunteers and assigns for any and all injuries or death suffered by me in this event. I will also allow my picture and name to be used in publications as a result of this race. Signature:___________________________________________

Printed with assistance by C&S Wholesale Grocers, in support of our community.

Date__________________________