60+ Relay Entry Form

 FireFighters 10 Mile Road Race

Sponsored by Half-Way Motors

 ~60+ 3 Person Team Relay~

Monday, May 23rd, 2011

 

 

 

Entry Fee

$30.00/person

by Thursday , May 12th

 

 

 

$20.00/person-no tee shirt

 

 

 

 

 

 

 

 

 

Late Entry Fee

$40.00/person (note below)

Friday, May 13th to Wednesday May 18th

 

 

 

(make cheque payable to: 

10 Mile Road
Race)

 

 

 

 

Entry fee includes T-shirt and spaghetti dinner

 

 

 

***There is NO T-shirt with late entries***

 

 

 

DIVISION: 

First Place
Award only

 

 

 

 

§         60+ Open Division – 3 members per team – all team members must be 60 years or older

 

 

 

DISTANCES

 

 

 

§         Leg 1 – four (4) miles

§         Leg 2 – four (4) miles

§         Leg 3 – two (2) miles (this runner must ear the timing chip)

§         Team co-ordinator responsible for delivery and pickup of team member from each handoff point

§         Kit pickup at Knights of Columbus – May St. 

Thursday

May 19th

-

pm

Friday

May 20th

5:00

-

7:00

pm

 

 

 

Saturday

May 21th

-

pm

 

 

 

Sunday

May 22nd

-

pm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

§         Spaghetti Dinner

Sunday

May 22nd

-

pm

 

 

 

cut here for entry form

 

 

 

Complete and return to:

OR

Drop off at:

Fresh Air Experience

Confederation College-Fitness Centre

311 Victoria Ave. E

 

Fresh Air Experience

Thunder Bay, ON P7C 1A4

 

 

 

 

 

 

 

 

 

 

 

 

Team Name:

 

 

 

 

 

 

Team Members

1)

 

 

 

 

 

 

 

 

 

 

 

 

2)

Entry

 

 

 

$

 

 

 

3)

 

 

 

 

 

 

 

 

 

Team Contact

 

 

 

T-shirts

Size

 

 

 

 

 

 

Name

 

 

 

 

 

 

Size

 

 

 

 

 

 

Address

 

 

 

 

 

 

Size

 

 

 

 

 

 

Phone

 

 

 

Extra Dinners

@ $8.00 each

$

E-Mail

 

 

 

 

 

 

Total Enclosed

$

 

 

 

 

 

 

Sizes

XS

S

M

L

XL

 

 

 

WAIVER

By accepting this entry I hereby waive and release the Thunder Bay Professional Firefighters Association, the City of Thunder Bay, all sponsors, and members of the organizing committee and all other volunteers of all claims and all responsibility of damages, injuries, and loss of articles which team members may sustain as participants in the Ten Mile Road Race.  I acknowledge and understand all risks associated with this event and attest that team members are sufficiently trained to participate.  I have read and fully understand this waiver/release.

 

 

 

Team Representative

 

 

 

 

 

 

_________________________________________

 
To contact us about relays:  relays@10mileroadrace.org

 
To contact us about relays:  relays@10mileroadrace.org