POTTSGROVE EDUCATION FOUNDATION
5K RACE AND KIDS FUN RUN
SATURDAY, MAY 16, 2015
(All proceeds benefit education programs in Grades K-12 in the Pottsgrove School District)
Welcome to the Pottsgrove School District’s Annual Foundation 5K Race. This is our 14th year of sponsoring the 5K Race and Kids Run. Course is slightly hilly neighborhood run that begins and ends at the Pottsgrove High School Athletic Stadium. The Kids run will immediately follow the 5K Race – Parents are welcome to run with their kids.
This year we are proud to announce that members of our PRIDE Fitness program will be joining us as their culminating event to FINISH A 5K… Elementary and MS students have been working toward this goal for the past 7 weeks and today, many will run their first Road Race….
Date: Saturday, May 16th, 2015 at 9:00 a.m. (Day of Registration 8-8:45 am)
Place: Pottsgrove High School Athletic Stadium, 1345 Kauffman Road, Pottstown, PA 19464 (Wheel Measured through neighborhoods adjacent to High School)
Entries: $20.00 per person – Includes Race T-shirt to all participants
PRIDE participants run for FREE
Awards: Male and Female Overall Winner Awards – Age Group Medals for Both Male and Female Finishers (Grades K-2, Grades 3-5, Grades 6-8, Grades 9-12 and Ages 19-29, 30-39, 40-49, 50-59, 60+)
Directions: Go to www.pgsd.org and Click on Directions to District Office
Information: Contact Mr. Gary DeRenzo, Director of Athletics at 610-326-6376 or via email GDERENZO@PGSD.ORG.
Waiver and Release (Detach and Return)
Please read prior to signing entry form.
I hearby request permission to participate in the Pottsgrove Education Foundation/ PRIDE 5K Race and Kids Walk. In consideration of the entry being accepted, I, intending to be legally bound for myself, my heirs, executors, administrators, waive and release any and all right I have against the organization holding this event, its agents, representatives, sponsors, successors and assigns for any all injuries suffered by me or damages out or, or related to the run. I verify that I am physically fit and have trained sufficiently for this race. I grant permission to use photos of me and release my name for any and all race purposes. All of the forgoing has been read by the undersigned and voluntarily been signed. I grant permission for Pottsgrove to use my race photographs on the race website.
Name:___________________________________________________________________ Age on Race Day_______
Parent Name (If Child Applicant)_____________________________________
Street Address:_________________________________________________________
Town, State, Zip Code:_________________________________________________ Gender: M or F
Email Address:_____________________________________ Shirt Size: Adult S, M, L, XL
Make Checks Payable: Pottsgrove Education Foundation
For Additional Information: Contact Gary DeRenzo @ 610-326-6376 or GDERENZO@PGSD.ORG
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