LAST NAME MI FIRST NAME

n n n n n n n n n n n n n n n n n n n n nADDRESS

n n n n n n n n n n n n n n n n n n n n n n n n n nCITY STATE ZIP CODE

n n n n n n n n n n n n n n n n n n n n n nHOME PHONE n n n n n n n n n nAGE (On race day) MALE FEMALE ENTRY FEES(Required for competitive racers.)

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COMPETITION

5k Race: n 5k Run n 5k Run BOE Employee

Competitive 2K Race*: n Ages (8 - 10) n Ages (11 - 14)

1K Fun Run: n Anyway 2K: (not timed) nNo age required

*Adults can run the same competitive race as their child but will not be eligible for an award.

School/AffiliationCompetitive 2K only

SHIRT SIZEYouth Large n Adult Size n n n n n No Shirt n

S M L XL XXL

Come join your friends and neighbors in the “Great Race ofMiddletown.” Run with pride in the race for Quality Education. Allproceeds from your tax deductible entry will fund programs whichenrich the Middletown School District.

ONE ENTRY PER APPLICATION — APPLICATION MAY BE REPRODUCED

DIRECTIONS TO LOCATION

THE COURSE

TIME

DIVISIONS AND AWARDS

No bikes, skateboards, or skates will be allowed.

5K RUN 12:00 p.m.FIRST AWARDS CEREMONY 1:00 p.m.COMPETITIVE 2K (11-14 yr. olds) 2:00 p.m.COMPETITIVE 2K (8-10 yr. olds) 2:30 p.m.1K FUN RUN (5-7 yr. olds) 3:00 p.m.ANYWAY 2K HEALTH WALK/RUN 3:30 p.m.FINAL AWARDS CEREMONY 4:30 p.m.

SAFETY

All pre-registered entrants and donors will be eligible for ran-dom drawing prizes. Trophies to first female and male runnersin the 5K. Cash Awards to top 3 male and female finishersoverall and to top male and female masters. Trophy to schoolwith top 5 coed finishers in competitive 2K ages (8-10) and(11-14). Prizes to all finishers in the 1K Fun Run. Awards inthe following categories to male and female runners:

5K: 19th Anniversary pint glasses will be awarded to the first100 male and the first 100 female finishers. Awards to the top 3 male and female Middletown BOE employees. Awards in thefollowing categories:

Cash Awards To:Top M/F Finishers: 1st - $100.00 2nd - $50.00 3rd - $25.00

First Masters M/F: $25.00

5K: Age: Awards:14-18 1 - 2 - 319-29 1 - 2 - 330-39 1 - 2 - 340-49 1 - 2 - 350-59 1 - 2 - 360+ 1 - 2 - 3

COMPETITIVE 2K: Age: Awards:8 1 - 2 - 39 1 - 2 - 310 1 - 2 - 311 1 - 2 - 312 1 - 2 - 313 1 - 2 - 314 1 - 2 - 3

Beginning at Middletown High School North,

the coursemoves through relatively flat residential areas

.5K USATF

cer tified. Splits each mile. Professional timing and finish linemanagement.

OF MIDDLETOWN

20th Annual

Runners may register and pick up entry packets on on race day between 10:30 a.m. and 12:00 p.m.

October 6th! Late registration $5.00 extra. T-SHIRTSGUARANTEED TO ALL PRE-REGISTERED RUNNERS.No refunds.

Water available at Finish Line and other designated points inall runs. First Aid stations at Finish Line.

Joan Minnuies (732) 495-3585 Race Application, informationand results are available at: www.eliteracingsystems.com

This race could not exist without the dedication of hundredsof volunteers. If you are interested in becoming a volunteer,please call Pam Brightbill at (732) 741-5972

REGISTRATION/PACKAGE PICKUP

ENTRY FEES

PRE-REGISTRATION DEADLINE

AID STATION

INFORMATION

VOLUNTEERS

$15.00 Pre-entry with multi-color T-shirt$20.00 Late entry - After October 6th

• 5K RACE• COMPETITIVE 2K• 1K FUN RUN• ANYWAY 2K HEALTH WALK/RUNMIDDLETOWN TOWNSHIP EDUCATION FOUNDATION

Saturday, October 24, 2009MIDDLETOWN TOWNSHIP EDUCATION FOUNDATION

Your cancelled check is acknowledgement of receIpt. Please sign waiver.

In consideration of this entry acceptance, I hereby for myself, my heirs, executors, and administrators, waive any and all claims for damages I may have against Middletown Township, MiddletownTownship Education Foundation, Middletown Township Board of Education, Race Volunteers and all sponsors or any other individual associated with the above for any and all injuries sustainedin this event. I will additionally permit the use of my name and pictures in broadcasts and telecasts, etc. I further attest and verify I am physically trained for the competition of this race and myphysical condition has been verified by a licensed medical doctor.

signature date

parent/legal guardian signature if athlete is under 18

In case of emergency, please notify phone

Make check payable to: MIDDLETOWN TOWNSHIPEDUCATION FOUNDATION

Mail to: THE GREAT RACEP.O. BOX 337MIDDLETOWN, NJ 07748

For In-School Campaign

School

T-Shirt Only/Donation - $14.00before October 6th

7 & under

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$15.00 Entry Fee$20.00 Late Entry Fee

after October 6th

ABSOLUTLEY NOCARRIAGES,

STROLLERS, BIKESSKATES OR SKATE-BOARDS WILL BE

PERMITTED ON THETRACK.

Please log on to www.middletownk12.org for directionsto High School.

Teacher