5K Run/Walk

and (Free) Kids Panda Dash

Sunday, May 15th, 2011 (rain or shine)
8:00 a.m. Run/Walk Registration
9:00 a.m. Kids Panda Dash (Free: No registration required)
10:00 a.m. Road Race/walk
Gerald M. Parmenter Elementary School
235 Wachusett Street • Franklin, MA

T-shirts to first 150 registered (must be present to receive) Awards to top 3 finishers in each age division (M/F)
Chip timing, USATF sanctioned, time splits Water stations, refreshments, raffles*

All proceeds to benefit the Parmenter PCC and Random Smile organization
*Free raffle ticket for each paper product or non-perishable food item donated to
the Franklin Food Pantry and Friends of Franklin

5K Run/Walk-Registration Fees: Age 13 and over $15 pre-registered/$20 race day.

Age 12 and under $10 pre-registered/$15 race day.
Family 4 Pack (all ages) $40 pre-registered/$50 race day.

For additional information go to: www.parmenter5k.com or contact Lisa Pelaggi at parmenter5K@gmail.com.

Mail forms to: Parmenter Elementary School/Run for all Ages Committee, 235 Wachusett St., Franklin MA 02038.
Make checks payable to the Parmenter PCC. Postmarked by May 5th.
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5K Run/Walk Only REGISTRATION FORM Official use only
_________
Last Name:__________________ First:___________ MI:____ Age: (race day)_______
Street:__________________ City:_________________ State:_____ Zip:________
Phone:__________________ E-mail:____________________________________
Gender: M/F ______ Run_________ or Walk_______
T-shirt size (circle): Youth: Sm, Med, Lge Adult: Sm, Med, Lge, XL
Enclosed check amount $_____________
SIGNATURE: ______________________________________________
(Signature of parent or guardian if under 18.)
In consideration of the acceptance of this entry: myself, heirs, executors and administrators, waive and release any and all rights and
claims for damages I may have against Parmenter Elementary School, the town of Franklin, USATF, all sponsors and race organizers
for any and all injuries suffered by me while competing in, traveling to or from this event. I attest that I am physically f it and sufficiently
trained to compete in this event. I also willingly release my image for photography, video and film cameras which may chronicle this
event. Runner will be responsible for $10 replacement fee for lost or unreturned chips.