Focus on Family Fitness 2011 October 29, 2011 @ Pout Pond on West River Road, Uxbridge Hosted by Taft

School, the UHS Boys and Girls Cross Country Teams, and the Uxbridge Conservation Commission. Sponsored by the UHS Athletic Department. Event purpose: To provide an introduction to cross country running, an opportunity for families to exercise together and a tour of one of Uxbridges finest natural resources. All proceeds from this event will be donated to the Uxbridge Food Pantry. Event Details: A non-competitive 1.1 mile run/hike/walk for individuals and families on part of the challenging UHS cross country course. The start and finish are located on the upper recreational field. Parking is limited at the upper field parking lot. Additional parking and bathrooms are located at the Pout Pond swim area. Date: October 29, 2011 Time: 10:00 AM ENTRY FORM
First Name: ______________________ Last Name: _______________________ Male/Female: _______ Address: ___________________________________________________ Youth Year of birth ________ City: ____________________________ State/Zip: ________________________ Entry Fee: $2.00 per Individual and $ 5.00 per Family Non Perishable food items will gladly be accepted at the event
Assumption of Risk: I recognize that participating in Cross Country/Trail Running is a potentially hazardous activity. In exchange for acceptance of this entry, I for myself, executors, administrators and assigns, do hereby release any rights and claims for damages I may have against event sponsors and Hosts Uxbridge High School Athletic Department, Taft School, Uxbridge Conservation Commission and event volunteers, Uxbridge Cross Country Teams, Coaches and Individuals involved in the presentation of this event. I hereby attest that I have full knowledge of the risk involved in competing in this event and that I am physically fit and sufficiently trained to participate in this event.

Signature: ________________________________________Date______________________________________
(Parent or Guardian if under age 18)