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MCCC Alumni 5K Run and Fun Fest Registration Form
(Walkers Welcome)

An evening 5k race on the Mercer Campus followed by music, food and beverages.*

Date & Time: Friday, October 1, 2004, 6:00 p.m.
Place: Registration and start at the Physical Education Center on the Mercer Campus, 1200 Old Trenton Road, West Windsor, NJ
Check-in/Registration: 4:45 to 5:45 p.m.
Entry Fee: $15.00 pre-registration postmarked by Sept. 24; $20.00 post-registration. Includes post-race picnic.
Fee for picnic only: $10
Course: USATF certified course starts in front of MCCC Physical Education Center; loops around  Mercer Campus.
T-shirts: Shirts to all pre-registered entrants and to race day entrants while supplies last.
Awards: Gift certificates for top male and female finishers.
Age Group Awards:
Male 19 & under; 20-29; 30-39; 40-49; 50-59; 60+
Female 19 & under; 20-29; 30-39; 40-49; 50-59; 60+
Timing: Baldassari and Leetsma Timing Systems

For additional information call 609-586-4800, ext. 3742

Proceeds to benefit MCCC Student-Athlete Scholarship Fund.  Make all checks payable to MCCC Foundation.  Mail to: Mercer County Community College, Athletic Department, P.O. Box B, Trenton, NJ  08690.
 

5K RUN AND FUN FEST REGISTRATION (October 1, 2004)
Entry Fee: $15.00 pre-registration postmarked by Sept. 24; $20.00 post-registration. Includes picnic.

Name: ___________________________________________________________

Address: _________________________________________________________

Age: _____   Sex: _____   Phone: ____ - _____ - _____

Waiver: I know that running or walking is a potentially hazardous activity and that I should not enter this event unless I am medically able and properly trained.  I assume all risks associated with participating in this event including inclement weather, traffic and the conditions of the course. I, for myself, my heirs and anyone entitled to act on my behalf, waive, release and indemnify Mercer County Community College, the race organizers, any sponsors, race officials, and volunteers from all claims or liabilities of any kind arising from my participation in this event.

*Must be at least 21 years old with valid i.d. for consumption of alcoholic beverages.

 
_______________________________________ ______________________
Signature (parent or guardian if under 18) Date

Make check payable to MCCC Foundation.  Mail to: Mercer County Community College, Athletic Department, P.O. Box B, Trenton, NJ  08690.
 

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