Race Sponsors: YOUR NAMES HERE

Saturday, November 14, 2009

Start Time: 7:30 am

Riverview Park, Sebastian

Course: Begins and ends at Riverview Park

*One water station * Professionally timed by Runner’s Depot

Entry Fee: $20.00 in advance, $25.00 on race day. Make checks payable: Sebastian River Middle School.

** Please add Phone Number

*Race day entries will be accepted starting at 6:45 am on race day. Tee shirts guaranteed to first 150 registered.

Awards: Medals to overall male and female winner. Age group awards to top 3 male and female finishers

in following categories: Runners:(14 & Under) (14 – 19) (20 – 29) (30 -39) (40 – 49) (50 – 59) (60 – 69) (70 & over)

Walkers: top 3 finishers

Packet Pickup: Thursday and Friday (Nov. 12^th & 13^th) 10 am-5 pm at Runner’s Depot of Vero Beach

Purpose: This race is a fund raiser for The International Baccalaureate Program and all net proceeds will be donated

to support their program. Please return all entry forms to:

Runner’s Depot or Sebastian River Middle School

436 21^st Street, Vero Beach, FL 32960 attn: Anne Warner

772-569-7364 9400 CR 512

Runnersdepot@comcast.net Sebastian, FL 32958

Entry Form

Please Print Legibly: checks payable to SRMS (Sebastian River Middle School)

*Please add phone number to check.

Name _________________________________ Sex _____ Race Day Age _______ T shirt size: S M L XL

Address:_____________________________________________ e-mail _______________________________

City & State ___________________________________________________ Zip Code ___________________

By signing of the application, I, for myself, my executors, administrators and assigns, do hereby discharge and release Runner’s Depot of Vero Beach and all cooperating businesses and organizations from all claims of damages, actions and whatsoever, in any manner arising or growing out of my participation or that of my child in this event. I also give my full permission to use my name and photograph in connection with this event.

Signature ________________________________________ Date __________________

Parent Signature (if under 18) _______________________________________ Date ______________